Individual provider Active NPI

Pasquale A. Luciano, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cherry Hill, NJ
National Provider Identifier
1861441966
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MB05403700 Issued in NJ
Practice address
1 Brace Rd Ste H
Cherry Hill, NJ 08034-2600
Phone
(856) 547-0389
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB05403700 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MB05403700 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste H
Cherry Hill, NJ 08034-2600

Mailing address

23 Lamson LN
Sewell, NJ 08080-1897

Other identifiers 1

IdentifierTypeStateIssuer
6064108MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000015 NJ Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9537053475 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 537-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Coronary artery bypass graft (CABG)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Surgery CurrentSince Dec 21, 2022 Accepting new patients
Virtua Medical Group, PA Surgery CurrentSince Apr 1, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jan 24, 2017 Accepting new patients
Atlanticare Physician Group PA Surgery CurrentSince Oct 26, 2013 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 26, 2013 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Brace Rd
Ste C
Cherry Hill, NJ 08034
Phone (856) 428-4100

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

1 Brace Rd
Ste H
Cherry Hill, NJ 08034
Phone (856) 547-0389

2500 English Creek Ave
Ste 907
Egg Harbor Township, NJ 08234
Phone (609) 407-2310

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 356
Pennington, NJ 08534
Phone (609) 537-6000

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pasquale.luciano.1@12833.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1861441966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LAMSON LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE RD STE H",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-547-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "PASQUALE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB05403700",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MB05403700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6064108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.