Active NPIIndividual providerSole proprietor

Lucius S Degregorio, MD

Clinic/Center, Student Health in Newark, New Jersey

NPI Number1508700758
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
April 17, 2026

Lucius Scipio Degregorio is a Clinic/Center, Student Health based in Newark, NJ. Lucius Scipio Degregorio practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Lucius Scipio Degregorio is 1508700758. The current practice location address for Lucius Scipio Degregorio is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.

Provider Profile Details

NPI Number
1508700758
Provider Name
Lucius Scipio Degregorio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5000
Primary Taxonomy
Clinic/Center, Student Health · 261QS1000X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2026
Last Update Date
April 17, 2026
Certification Date
April 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5000
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
State
NJ
Zip
07102-1909

License Information

License State
NJ
Taxonomy
Clinic/Center, Student Health · 261QS1000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lucius S Degregorio, MD?

The NPI number of Lucius S Degregorio, MD is 1508700758. It was assigned on April 17, 2026 and is currently active in the NPPES registry.

What is the specialty of Lucius S Degregorio, MD?

Lucius S Degregorio, MD is registered under the primary taxonomy Clinic/Center, Student Health (code 261QS1000X).

Where does Lucius S Degregorio, MD practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508700758 directly on the NPPES registry website.

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