| Lumina Care Medical Nj Llc | |
|
885 3rd Ave Fl 28 New York NY 10022-4834 | |
| (305) 771-4986 | |
| Not Available |
| Full Name | Lumina Care Medical Nj Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 885 3rd Ave Fl 28, New York, New York |
| Authorized Official Name and Position | Daniel Gerard Funsch (PRESIDENT) |
| Authorized Official Contact | 7185340689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Care Medical Nj Llc 885 3rd Ave Fl 28 New York NY 10022-4834 Ph: (305) 771-4986 | Lumina Care Medical Nj Llc 885 3rd Ave Fl 28 New York NY 10022-4834 Ph: (305) 771-4986 |
| NPI Number | 1851118319 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 04/24/2025 |
| Medicare PECOS PAC ID | 6608305156 |
|---|---|
| Medicare Enrollment ID | O20250128004273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851118319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20041124000210 |
| Provider Name | Katrina L San Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067985 PECOS PAC ID: 0648515502 Enrollment ID: I20181220001677 |
| Provider Name | Arianna Hope Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20190130000045 |
| Provider Name | Stacey Melissa Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366760373 PECOS PAC ID: 9234479668 Enrollment ID: I20190322000102 |
| Provider Name | Daniel G Funsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471547 PECOS PAC ID: 2365789039 Enrollment ID: I20200205001417 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20200221002285 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20201201002408 |
| Provider Name | Ianina Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899091 PECOS PAC ID: 7719374644 Enrollment ID: I20220425000929 |
| Provider Name | Sebrina Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235530395 PECOS PAC ID: 5092037432 Enrollment ID: I20220602000017 |
| Provider Name | Prisca Okwara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942919667 PECOS PAC ID: 4789054529 Enrollment ID: I20230112000457 |
| Provider Name | Chidi Obinani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891962106 PECOS PAC ID: 5294806816 Enrollment ID: I20230808000624 |
| Provider Name | Akosua Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
| Provider Name | Jessica Suzanne Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20230918001088 |
| Provider Name | Bridgett Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231201002189 |
| Provider Name | Elizabeth Nosier-turenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20240423000298 |
| Provider Name | Tiffany M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819944 PECOS PAC ID: 0941578058 Enrollment ID: I20241210002941 |
| Provider Name | Patrick Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119969 PECOS PAC ID: 3971674821 Enrollment ID: I20250224000583 |
| Provider Name | Erica Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659845394 PECOS PAC ID: 7113269234 Enrollment ID: I20250228000860 |
| Provider Name | Sakeena Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944233 PECOS PAC ID: 1456635861 Enrollment ID: I20250305000493 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
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