Organization Active NPI

Lucrecia Alburquerque MD PA

  • Specialist
  • Paterson, NJ
National Provider Identifier
1821044397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA34005 Issued in NJ
Legal business name
LUCRECIA ALBURQUERQUE MD PA
Practice address
412 Park Ave
Paterson, NJ 07504-1930
Phone
(973) 684-1302
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lucrecia Alburquerque, MDNPI 1922077817
Title
Owner
Phone
(973) 684-1302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA34005 NJ Primary

Addresses

Primary practice location

412 Park Ave
Paterson, NJ 07504-1930

Mailing address

412 Park Ave
Paterson, NJ 07504-1930
Phone (973) 684-1302

Other identifiers 1

IdentifierTypeStateIssuer
0314005MedicaidNJ

National Provider Directory

National Provider Directory

Locations

412 Park Ave
Paterson, NJ 07504
Phone (973) 684-1302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821044397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041930",
            "telephone_number": "973-684-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041930",
            "telephone_number": "973-684-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCRECIA ALBURQUERQUE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBURQUERQUE",
        "authorized_official_first_name": "LUCRECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-684-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA34005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.