Braxton Lucero
Physician Assistant in Belleville, New Jersey
1629633797- Practice location
- 1 Clara Maass Dr, Belleville, NJ 07109-3550
- Phone
- 973-450-2000
- Fax
- —
- Last updated
- August 20, 2019
Braxton Lucero is a Physician Assistant based in Belleville, NJ. Braxton Lucero practices in Belleville, NJ. The NPI Number for Braxton Lucero is 1629633797 and holds a License No. 25MP00534400 (NJ). The current practice location address for Braxton Lucero is 1 Clara Maass Dr, Belleville, NJ 07109-3550 and can be reached out via phone at 973-450-2000.
Provider Profile Details
- NPI Number
- 1629633797
- Provider Name
- Braxton Lucero
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Clara Maass Dr, Belleville, NJ 07109-3550
- Phone Number
- 973-450-2000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2019
- Last Update Date
- August 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Clara Maass Dr
Belleville, NJ 07109-3550 - City
- Belleville
- State
- New Jersey
- Zip
- 07109-3550
- Phone Number
- 973-450-2000
Provider Business Mailing Address Details
- Address
- 30 Ardsley CT
East Brunswick, NJ 08816-3673 - City
- East Brunswick
- State
- NJ
- Zip
- 08816-3673
- Phone Number
- 801-458-9687
License Information
- License Number
- 25MP00534400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Braxton Lucero?
The NPI number of Braxton Lucero is 1629633797. It was assigned on May 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Braxton Lucero?
Braxton Lucero is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00534400.
Where does Braxton Lucero practice?
The practice location is 1 Clara Maass Dr, Belleville, NJ 07109-3550. The office can be reached at 973-450-2000 (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 1629633797 directly on the NPPES registry website.