Lutheran Medical Center

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

7001019H Issued in NY

Legal business name

LUTHERAN MEDICAL CENTER

Practice address

150 55TH St
Brooklyn, NY 11220-2559

Phone

(718) 630-7000

Fax

(718) 630-7437

NPI assigned

Sep 13, 2006

Last updated

Sep 8, 2008By 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

Mr. Gary Dellacerra, V.P.

Title

VP Managed Care & Revenue Complianc

Phone

(718) 630-7103

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1801991914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "LUTHERAN MEDICAL CENTER-MANAGED CARE DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7103",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-7000",
            "fax_number": "718-630-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "DELLACERRA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP MANAGED CARE & REVENUE COMPLIANC",
        "authorized_official_telephone_number": "718-630-7103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "V.P."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "7001019H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lutheran Medical Center
• Lutheran Medical Center
• Lutheran Medical Center
• Lutheran Medical Center
• Lutheran Medical Center
• Lutheran Medical Center
• Lutheran Medical Center-Nes
• Dmitry Lutsker, M.S. EDUCATION
• Leona Lubov Lutsker, M.S., CF-SLP-TSSLD
• Jana Luttrell, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.