Christina Lusk-Caceres, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MB09562600 Issued in NJ

Practice address

776 Shrewsbury Ave
Ste 201
Tinton Falls, NJ 07724-4507

Phone

(732) 530-4949

Fax

(732) 530-3618

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• A Athlete Sports Medicine, L.L.C.

  • Sports Medicine (Family Medicine) Physician
  • Robbinsville, NJ
  • NPI 1396987715
  Medicare reassignment NPD
• Professional Orthopedics Assoc

  • Physical Therapist
  • Tinton Falls, NJ
  • NPI 1356385900
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1992090591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "STE 201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077244507",
            "telephone_number": "732-530-4949",
            "fax_number": "732-530-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "STE 201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077244507",
            "telephone_number": "732-530-4949",
            "fax_number": "732-530-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK-CACERES",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB09562600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mung Lo, FNP-C
• Marilyn Loh Collado, M.D.
• Brandon Gamaniel Lopez, PA-C
• Julissa Lopez
• Todd Joseph Losapio, D.M.D.
• Christine Jean Lynam, CCC-SLP
• Patricia Lynch
• Lynn Care Senior Services LLC
• Macdonald Counseling LLC
• Donald A Macdonald Jr., MD

• Sports Medicine (Family Medicine) Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.