Active NPI
Stephanie Joanne Luca, PA
- Physician Assistant
- Holbrook, NY
National Provider Identifier
1952844136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020384
- Practice address
- 203 Union Ave
Holbrook, NY 11741-1704 - Phone
- (631) 585-5858
- Fax
- (631) 585-6362
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020384 | NY | Primary |
Addresses
Primary practice location
203 Union Ave
Holbrook, NY 11741-1704
Mailing address
203 Union Ave
Holbrook, NY 11741-1704
Phone (631) 585-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6050
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients |
Locations
55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000
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.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Primary Care Clinic/Center
- Lahaina, HI
- NPI 1386704542
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kahului, HI
- NPI 1891013199
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1285450163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1952844136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 UNION AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117411704",
"telephone_number": "631-585-5858",
"fax_number": "631-585-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 UNION AVE",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117411704",
"telephone_number": "631-585-5858",
"fax_number": "631-585-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCA",
"first_name": "STEPHANIE",
"middle_name": "JOANNE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.