Active NPIIndividual providerSole proprietor

Jesse Lucas

Non-emergency Medical Transport (VAN) in Newark, New Jersey

NPI Number1548916638
Practice location
401 Woodside Ave, Newark, NJ 07104-3243
Fax
—
Last updated
February 27, 2022

Jesse Lucas is a Non-emergency Medical Transport (VAN) based in Newark, NJ. Jesse Lucas practices in Newark, NJ. The NPI Number for Jesse Lucas is 1548916638. The current practice location address for Jesse Lucas is 401 Woodside Ave, Newark, NJ 07104-3243 and can be reached out via phone at 623-296-2034.

Provider Profile Details

NPI Number
1548916638
Provider Name
Jesse Lucas
Provider Entity Type
Individual
Gender
Male
Address
401 Woodside Ave, Newark, NJ 07104-3243
Phone Number
623-296-2034
Primary Taxonomy
Non-emergency Medical Transport (VAN) · 343900000X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2022
Last Update Date
February 27, 2022
Certification Date
February 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Woodside Ave
Newark, NJ 07104-3243
City
Newark
Zip
07104-3243
Phone Number
623-296-2034
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
401 Woodside Ave
Newark, NJ 07104-3243
City
Newark
State
NJ
Zip
07104-3243
Phone Number
623-296-2034

License Information

License State
NJ
Taxonomy
Non-emergency Medical Transport (VAN) · 343900000X · 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 Jesse Lucas?

The NPI number of Jesse Lucas is 1548916638. It was assigned on February 27, 2022 and is currently active in the NPPES registry.

What is the specialty of Jesse Lucas?

Jesse Lucas is registered under the primary taxonomy Non-emergency Medical Transport (VAN) (code 343900000X).

Where does Jesse Lucas practice?

The practice location is 401 Woodside Ave, Newark, NJ 07104-3243. The office can be reached at 623-296-2034 (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 1548916638 directly on the NPPES registry website.

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