Individual provider Active NPI

Mark Lucey Jr.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1780115329
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T290070 Issued in MA
Practice address
4190 City Ave
Philadelphia, PA 19131-1626
Phone
(215) 871-6690
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T290070 MA Primary

Addresses

Primary practice location

4190 City Ave
Philadelphia, PA 19131-1626

Mailing address

141 South St
Apt 1
Jamaica Plain, MA 02130-3882
Phone (860) 324-1249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210824002868 MA Practitioner - Internal Medicine 2769887009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Practice addresses (Care Compare)

100 Oneil Blvd
Attleboro, MA 02703-4250
Phone (508) 342-1101

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Natick Walpole Visiting Nurse Association Home health agency, Walpole, MA, CCN 227139
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Elmwood Home Care, Inc Home health agency, Taunton, MA, CCN 227751
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Hopehealth Hospice & Palliative Care Hospice, Attleboro, MA, CCN 221512
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc Internal Medicine CurrentSince Aug 18, 2021 Accepting new patients
Sturdy Health, Inc. Internal Medicine CurrentSince Aug 18, 2021 Accepting new patients
Sturdy Health Inc Internal Medicine Past Accepting new patients

Locations

100 Oneil Blvd
Attleboro, MA 02703
Phone (508) 342-1101

28 Sturdy St
Attleboro, MA 02703
Phone (508) 226-7788

Organizations & group practices 3

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 8

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1780115329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SOUTH ST",
            "address_2": "APT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303882",
            "telephone_number": "860-324-1249",
            "fax_number": "508-342-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCEY",
        "first_name": "MARK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "T290070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.