Active NPI
Samuel J Lu, L.P.T.
- Physical Therapist
- South Plainfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00822100
- Practice address
- 1907 Park Ave
Suite 102
South Plainfield, NJ 07080-5530 - Phone
- (908) 561-2220
- Fax
- (908) 769-5308
- NPI assigned
- May 21, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00822100 | NJ | Primary |
Addresses
Primary practice location
1907 Park Ave
Suite 102
South Plainfield, NJ 07080-5530
Mailing address
1907 Park Ave
Suite 102
South Plainfield, NJ 07080-5530
Phone (908) 561-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120821000834 | NJ | Practitioner - Physical Therapist in Private Practice | 5395992697 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1907 Park Ave
Suite 102
South Plainfield, NJ 07080-5530
1907 Park Ave
Suite 102
South Plainfield, NJ 07080-5585
850 Towbin Ave
Lakewood, NJ 08701-5928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
Locations
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772
Organizations & group practices 1
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1992065387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 PARK AVE",
"address_2": "SUITE 102",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805530",
"telephone_number": "908-561-2220",
"fax_number": "908-769-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 PARK AVE",
"address_2": "SUITE 102",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805530",
"telephone_number": "908-561-2220",
"fax_number": "908-769-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "SAMUEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00822100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.