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ANGELES L LUCHAYCO MD PC NPI 1073665907


NPI Information

NPI: 1073665907
Provider Name: ANGELES L LUCHAYCO MD PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
119 OCEAN AVENUE
JERSEY CITY, NJ
ZIP 07305
Phone: (201) 332-6677
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ANGELES L LUCHAYCO MD PC is a pediatrics in Jersey City, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ANGELES L LUCHAYCO MD PC NPI is 1073665907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

119 OCEAN AVENUE
JERSEY CITY, NJ
ZIP 07305
Phone: (201) 332-6677
Fax: (201) 332-6677

The provider's authorized official is Angeles Lim Luchayco .
The authorized official title is President and has the following contact phone number (201) 332-6677.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics25MA02984700NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11185705MEDICAIDNEW 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: 11/14/2023

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