REBECCA LU MD NPI 1013304161

NPI Information

  • NPI: 1013304161
  • Provider Name: REBECCA LU MD
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Doing Business As: ELITE SKINMD
  • CLIA Number: 31D2100449
  • Address: 7 MOUNT BETHEL RD
    SUITE C
    WARREN, NJ
    ZIP 07059
  • Phone: (908) 787-8088

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NPI Details

REBECCA LU MD is a procedural dermatology dermatology in Warren, NJ. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). REBECCA LU MD NPI is 1013304161. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Skinmd.

The provider's business location address is:

7 MOUNT BETHEL RD
SUITE C
WARREN, NJ
ZIP 07059-636
Phone: (908) 787-8088
Fax: (908) 368-8648

The provider's authorized official is Rebecca Lu .
The authorized official title is Md/owner and has the following contact phone number (973) 722-6788.

The CLIA number assigned to this NPI record is 31D2100449 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 10/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology25MA08557200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1433674MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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