Active NPI
Annika Lindgren Lucarelli, D.D.S.
- Dentist
- New Brunswick, NJ
National Provider Identifier
1992092415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02581000
- Practice address
- 76 Livingston Ave
New Brunswick, NJ 08901-2575 - Phone
- (732) 246-2284
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02581000 | NJ | Primary |
Addresses
Primary practice location
76 Livingston Ave
New Brunswick, NJ 08901-2575
Mailing address
76 Livingston Ave
New Brunswick, NJ 08901-2575
Phone (301) 938-0169
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170112002266 | NJ | Order and Referring Only - Dentist | 7618259334 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Jersey Endodontic Group | Past | Accepting new patients |
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.
-
- Endodontics
- Somerville, NJ
- NPI 1932209244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1992092415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 LIVINGSTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012575",
"telephone_number": "301-938-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 LIVINGSTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012575",
"telephone_number": "732-246-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCARELLI",
"first_name": "ANNIKA",
"middle_name": "LINDGREN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02581000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.