Axoxa New Vitality Medical PC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

249039 Issued in NY

Legal business name

AXOXA NEW VITALITY MEDICAL PC

Practice address

61 E 86TH St
New York, NY 10028-1068

Phone

(646) 862-7091

NPI assigned

Apr 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Juraj Lukac, M.D.

Title

Director

Phone

(646) 862-7091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460246400000",
    "number": "1841654480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHERMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012301",
            "telephone_number": "347-857-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281068",
            "telephone_number": "646-862-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXOXA NEW VITALITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2016-04-10",
        "status": "A",
        "authorized_official_last_name": "LUKAC",
        "authorized_official_first_name": "JURAJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-862-7091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "249039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2016; 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.