Active NPIIndividual providerSole proprietor

Luis E Luque, NP

Nurse Practitioner, Family in Bloomfield, New Jersey

NPI Number1942767652
Practice location
26 Fritz St, Bloomfield, NJ 07003-4044
Fax
—
Last updated
November 19, 2024

Luis Eduardo Luque is a Nurse Practitioner, Family based in Bloomfield, NJ. Luis Eduardo Luque practices in Bloomfield, NJ and has the professional credentials of NP. The NPI Number for Luis Eduardo Luque is 1942767652 and holds a License No. 26NJ01167100 (NJ). The current practice location address for Luis Eduardo Luque is 26 Fritz St, Bloomfield, NJ 07003-4044 and can be reached out via phone at 973-336-6808.

Provider Profile Details

NPI Number
1942767652
Provider Name
Luis Eduardo Luque
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
26 Fritz St, Bloomfield, NJ 07003-4044
Phone Number
973-336-6808
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2019
Last Update Date
November 19, 2024
Certification Date
November 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Fritz St
Bloomfield, NJ 07003-4044
Zip
07003-4044
Phone Number
973-336-6808
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
26 Fritz St
Bloomfield, NJ 07003-4044
City
Bloomfield
State
NJ
Zip
07003-4044
Phone Number
973-336-6808

License Information

License Number (1)
26NJ01167100
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
18-544
License State (2)
WI

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 Luis E Luque, NP?

The NPI number of Luis E Luque, NP is 1942767652. It was assigned on February 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Luis E Luque, NP?

Luis E Luque, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01167100.

Where does Luis E Luque, NP practice?

The practice location is 26 Fritz St, Bloomfield, NJ 07003-4044. The office can be reached at 973-336-6808 (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 1942767652 directly on the NPPES registry website.

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