Luminous Cares, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

26NJ00374300 Issued in NJ

Legal business name

LUMINOUS CARES, LLC

Practice address

134 Evergreen PL
East Orange, NJ 07018-2011

Phone

(862) 233-2133

NPI assigned

Apr 18, 2014

Last updated

Apr 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Udoka Jeremiah EjioforNPI 1295096584

Title

President and Psych Apn

Phone

(862) 233-2133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Udoka Jeremiah Ejiofor, PH.D., MSN, PMHNP.

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
  • NPI 1295096584
  Medicare reassignment Authorized official
• Mercy Amuche Ugboaja, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton Township, NJ
  • NPI 1639607039
  NPD (past)

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1982024790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-233-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-233-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "EJIOFOR",
        "authorized_official_first_name": "UDOKA",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT AND PSYCH APN",
        "authorized_official_telephone_number": "862-233-2133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "26NJ00374300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Lowery, R.N.
• Marolyn Lozano, M.S., CCC-SLP
• Monica Lozano
• Frederic Tianan Lu, MD, MPH
• Jasmine Luke
• John Joseph Lutolf, PHD
• Rex Ma, M.D.
• Janet Macdonnell, RDMS
• Ruby Machado
• Christine Czechut Machiedo, MD

• Adult Mental Health Clinic/Center in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.