Luca de Simone Kidney Disease Specialists LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA07410900 Issued in NJ

Legal business name

LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC

Practice address

102 James St
Suite 302
Edison, NJ 08820-3970

Phone

(732) 205-1977

Fax

(732) 205-0052

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By 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

Luca De Simone, M.D.NPI 1104897388

Title

Owner

Phone

(732) 205-1977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Luca Desimone, M.D.

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1104897388

  Nephrology

  Medicare reassignment NPD Authorized official
• Diane Potash, APN

  • Nurse Practitioner
  • North Brunswick, NJ
  • NPI 1669808721
  Medicare reassignment NPD
• David L Romano, MD

  • Nephrology Physician
  • Avenel, NJ
  • NPI 1215990403
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1811179476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 JACKSON ST APT 4D",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306083",
            "telephone_number": "732-397-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 302",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-205-1977",
            "fax_number": "732-205-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "DE SIMONE",
        "authorized_official_first_name": "LUCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-205-1977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07410900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Little Minds LLC
• Loving Hands Supportive Services LLC
• Emily Lowenfels, LCSW
• Weili Lu
• Sabina Lubas
• Carlin Lucas
• Eduardo Luciano-Franqui
• Lisa Luciano, D.O.
• Ofure R. Luke, MD
• Mildred Lumapas, OTR/L

• Nephrology Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.