Individual provider Active NPI

Anthony Joseph Lucatorto, D.O.

  • Family Medicine Physician
  • Lake Hopatcong, NJ
National Provider Identifier
1760443030
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06095000 Issued in NJ
Practice address
28 Bowling Green Parkway
Suite LL3
Lake Hopatcong, NJ 07849-2445
Phone
(973) 214-8679
Fax
(973) 663-9511
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06095000 NJ Primary

Addresses

Primary practice location

28 Bowling Green Parkway
Suite LL3
Lake Hopatcong, NJ 07849-2445

Mailing address

28 Bowling Green Parkway
Suite LL3
Lake Hopatcong, NJ 07849-2445
Phone (973) 663-8899

Other identifiers 7

IdentifierTypeStateIssuer
P376680OtherNJOXFORD HEALTH PLAN ID
0811246000OtherNJAMERIHEALTH HMO
200563432OtherNJBCBS FEDERAL EMPLOYEE
000786118OtherNJHIGHMARK BLUE SHIELD ID
200563432OtherNJUNITED HEALTHCARE ID
200563432OtherNJQUALCARE PPO HMO ID
2355303001OtherNJAMERIHEALTH HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

694 RT 15
Suite 103
LK. Hopatcong, NJ 07849-2249

694 State Route 15 S
Suite 103
Lake Hopatcong, NJ 07849-2249

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of New Jersey, P.C. PastSince Jan 1, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/430a7ff7-9999-4cda-a19f-fb8b573704c8/

Organizations & group practices 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1760443030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BOWLING GREEN PARKWAY",
            "address_2": "SUITE LL3",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492445",
            "telephone_number": "973-663-8899",
            "fax_number": "973-663-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BOWLING GREEN PARKWAY",
            "address_2": "SUITE LL3",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492445",
            "telephone_number": "973-214-8679",
            "fax_number": "973-663-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCATORTO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06095000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID",
            "identifier": "P376680",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0811246000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL EMPLOYEE",
            "identifier": "200563432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "000786118",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "200563432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE PPO HMO ID",
            "identifier": "200563432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2355303001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

Verify at the official NPI Registry.