Individual provider Active NPI

Samuel J Lu, L.P.T.

  • Physical Therapist
  • South Plainfield, NJ
National Provider Identifier
1992065387
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00822100 Issued in NJ
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

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince May 7, 2021 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.

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.

Verify at the official NPI Registry.