Active NPI
Frederic Tianan Lu, MD, MPH
- Family Medicine Physician
- East Orange, NJ
National Provider Identifier
1831619220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA11605100
- Practice address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - Phone
- (800) 248-8005
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 25MA11605100 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA11605100 | NJ | |
| Family Medicine Physician | 207Q00000X | 25MA11605100 | NJ | Primary |
Addresses
Primary practice location
385 Tremont Ave
East Orange, NJ 07018-1023
Mailing address
10 Landing LN Apt 4R
New Brunswick, NJ 08901-1038
Phone (404) 513-7588
Other practice location 1
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 235-7742
Other practice location 2
170 Frelinghuysen Rd
Piscataway, NJ 08854-8020
Phone (848) 445-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11605100 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1831619220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANDING LN APT 4R",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011038",
"telephone_number": "404-513-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181023",
"telephone_number": "800-248-8005"
}
],
"practiceLocations": [
{
"address_1": "1 Robert Wood Johnson Pl",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011928",
"country_code": "US",
"telephone_number": "732-235-7742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 Frelinghuysen Rd",
"address_purpose": "LOCATION",
"city": "Piscataway",
"state": "NJ",
"postal_code": "088548020",
"country_code": "US",
"telephone_number": "848-445-6072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "FREDERIC",
"middle_name": "TIANAN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NJ",
"license": "25MA11605100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11605100",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA11605100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.