Individual provider Active NPI

Todd Jospeh Luyber, DO

  • Emergency Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1982672960
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200101240 Issued in NC
Practice address
620 John Paul Jones Cir
Naval Medical Center Portsmouth
Portsmouth, VA 23708-2111
Phone
(757) 953-1365
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200101240 NC Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Naval Medical Center Portsmouth
Portsmouth, VA 23708-2111

Mailing address

352 Hagenspring Rd
Chesapeake, VA 23320-3502
Phone (757) 609-3799

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
I20091216000438 NJ Practitioner - Emergency Medicine 7315087764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Emergency Associates - Hammonton Sed LLCGroup PAC ID 9133273329, 12 clinicians
Atlantic Emergency Associates PAGroup PAC ID 1153354170, 48 clinicians

Practice addresses (Care Compare)

219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone (814) 259-8716

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200101240NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Jul 1, 2010 Accepting new patients
Atlantic Emergency Associates - Hammonton Sed LLC Emergency Medicine CurrentSince Oct 1, 2009 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Jan 14, 2019 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

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

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1982672960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HAGENSPRING RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203502",
            "telephone_number": "757-609-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUYBER",
        "first_name": "TODD",
        "middle_name": "JOSPEH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200101240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.