John E Lukaszewicz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

148311 Issued in NY

Practice address

19 Townline Rd
Fort Edward, NY 12828-4026

Phone

(315) 439-2372

Fax

(888) 855-3127

NPI assigned

Jan 10, 2006

Last updated

Jun 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1972582807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TOWNLINE RD",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128284026",
            "telephone_number": "315-439-2372",
            "fax_number": "888-855-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TOWNLINE RD",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128284026",
            "telephone_number": "315-439-2372",
            "fax_number": "888-855-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASZEWICZ",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "148311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lape, LPN
• Diane S. Leach, P.T.
• Lorrie Leach, ASSOCIATES
• Taylor Lewis
• Richard J Long, DMD
• Rebecca Lusignan, MSPT
• Molly Madden, LMSW
• Regina McClenning
• Erin McGuirk
• Pamela Jean Lunz Medina

• Family Medicine Physician in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.