Luminescence Medical PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

LUMINESCENCE MEDICAL PLLC

Practice address

1202 Troy Schenectady Road
Building #2
Latham, NY 12110

Phone

(518) 389-6100

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prajesh Ghimire, MDNPI 1821300401

Title

Partner/Physician

Phone

(518) 330-2843

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prajesh Mani Ghimire, M.D.

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1821300401
  NPD Authorized official
• Sean Conner, D.O.

  • Internal Medicine Physician
  • Albany, NY
  • NPI 1538328331
  NPD
• Nabodita Devkota Ghimire, MD

  • Family Medicine Physician
  • Albany, NY
  • NPI 1720419831
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1760265540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TROY SCHENECTADY RAOD",
            "address_2": "BUILDING #2",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-389-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TROY SCHENECTADY ROAD",
            "address_2": "BUILDING #2",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-389-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINESCENCE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "GHIMIRE",
        "authorized_official_first_name": "PRAJESH",
        "authorized_official_title_or_position": "PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "518-330-2843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Nori Lozman, DMD
• Clarence Y Lu, L.AC
• Lucie Capek, MD, PLLC
• Phillip Jason Lucien, CAS, CASAC
• Samantha Ludwig, MD
• Michael Lynch, RPA
• Erika L Lyons, OTR/L
• Christene Lynn Mabb, LMHC
• Mabel M P Cheng, MD, PLLC
• Hunter R Macdonald, DO

• Adult Medicine Physician in Latham, NY
• Providers in Latham, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.