Individual provider Active NPI

Yevgeniy Luts, DO

  • Obstetrics & Gynecology Physician
  • Pennsauken, NJ
National Provider Identifier
1750905048
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB12408700 Issued in NJ
Practice address
6981 N Park Dr Ste 300a
Pennsauken, NJ 08109-4205
Phone
(856) 854-4524
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MB12408700 NJ Primary

Addresses

Primary practice location

6981 N Park Dr Ste 300a
Pennsauken, NJ 08109-4205

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 855-0340

Other practice location 1

817 Federal St
Camden, NJ 08103-1539
Phone (856) 583-2400

Other practice location 2

1901 1st Ave
New York, NY 10029-7491
Phone (212) 423-6271

Other practice location 3

2610 Federal St
Camden, NJ 08105-1936
Phone (856) 583-2400

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address yluts197697@directvirtua.org
Direct Messaging Address yluts197697@directvirtua.org
Direct Messaging Address yluts197697@directvirtua.org
Direct Messaging Address yluts197697@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009001140 NJ Practitioner - Obstetrics/Gynecology 2769848662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3700

6981 N Park Dr
Suite 300a
Pennsauken, NJ 08109-4205
Phone (856) 854-4524

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB12408700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Osborn Family Health Center, Inc. CurrentSince Dec 30, 2024 Accepting new patients
The Osborn Family Health Center, Inc. Obstetrics & Gynecology CurrentSince Dec 30, 2024 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 27, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 27, 2024 Accepting new patients
Camcare Health Corporation Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1000 Atlantic Ave
Ste 170A
Camden, NJ 08104

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

6981 N Park Dr
Ste 300A
Pennsauken, NJ 08109
Phone (856) 854-4524

Interoperability endpoints

  • Direct secure messaging: yluts844710@direct.ochin.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72983
  • Direct secure messaging: yluts@osbornfhc.directbygreenway.com
  • Direct secure messaging: yluts197697@directvirtua.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1750905048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-855-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR STE 300A",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "856-854-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031539",
            "country_code": "US",
            "telephone_number": "856-583-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297491",
            "country_code": "US",
            "telephone_number": "212-423-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081051936",
            "country_code": "US",
            "telephone_number": "856-583-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTS",
        "first_name": "YEVGENIY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB12408700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yluts197697@directvirtua.org",
            "affiliation": "N",
            "address_1": "817 Federal St",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081031539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yluts197697@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr Ste 300A",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yluts197697@directvirtua.org",
            "affiliation": "N",
            "address_1": "2610 Federal St",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081051936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yluts197697@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Ste 170A",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.