1. Home
  2. Directory
  3. New York
  4. Middletown
  5. Family Medicine
  6. NPI Profile

JENNY Q. LU, M.D., PLLC
NPI 1053542068
Family Medicine in Middletown, NY

Active since August 07, 2009CLIA 33D1067757 · Waiver
75 CRYSTAL RUN RD STE 105, MIDDLETOWN, NY 10941(845) 692-3542(845) 692-6939 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Q. Lu, M.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY Q. LU, M.D., PLLC (NPI 1053542068) is a healthcare organization registered as a family medicine in Middletown, New York and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Jenny Q Lu, Owner, as its authorized official.

NPPES Registry Identity

NPI1053542068
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJENNY Q. LU, M.D., PLLC
Location Address75 CRYSTAL RUN RD STE 105Middletown, NY 10941-7003
Mailing Address75 Crystal Run Rd Ste 105Middletown, NY 10941-7003 · (845) 692-3542 · Fax (845) 692-6939
Phone(845) 692-3542
Fax(845) 692-6939
Organization SubpartNo
Authorized OfficialJenny Q LuOwner · (845) 692-3542
Enumeration DateAugust 7, 2009
Last NPPES UpdateJuly 6, 2010
✔ NPI 1053542068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 214481
Definition
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.
75 CRYSTAL RUN RD STE 105, Middletown, NY 10941
Open in Google Maps ↗

Other Identifiers 2

Medicaid01999279NY
Medicare PINA400025626NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1067757

Jenny Q Lu MD · Middletown, NY
Active · expires Apr 30, 2027
CLIA Number33D1067757
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorJenny Q. Lu
Laboratory Phone(845) 692-3542
Laboratory LocationJenny Q Lu MD75 Crystal Run Road Suite 105, Middletown, NY 10941
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Q. Lu, M.D., PLLC's NPI number?

The NPI number for Jenny Q. Lu, M.D., PLLC is 1053542068. It was assigned to this organization in the NPPES registry on August 7, 2009.

Where is Jenny Q. Lu, M.D., PLLC located?

Jenny Q. Lu, M.D., PLLC is located at 75 Crystal Run Rd Ste 105, Middletown, NY 10941. The listed phone number is (845) 692-3542.

What is Jenny Q. Lu, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jenny Q. Lu, M.D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1067757) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jenny Q. Lu, M.D., PLLC was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.