JENNY Q. LU M.D. PLLC NPI 1053542068

NPI Information

  • NPI: 1053542068
  • Provider Name: JENNY Q. LU, M.D., PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 75 CRYSTAL RUN RD STE 105
    MIDDLETOWN, NY
    ZIP 10941
  • Phone: (845) 692-3542

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NPI Details

JENNY Q. LU, M.D., PLLC is a family medicine in Middletown, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JENNY Q. LU, M.D., PLLC NPI is 1053542068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 CRYSTAL RUN RD STE 105
MIDDLETOWN, NY
ZIP 10941-003
Phone: (845) 692-3542
Fax: (845) 692-6939

The provider's authorized official is Jenny Q Lu .
The authorized official title is Owner and has the following contact phone number (845) 692-3542.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine214481NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101999279MEDICAIDNEW YORK
2A400025626MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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