SHANAE JONELL LUCES
NPI 1164236824
Physician Assistant - Medical in Bronx, NY
About Shanae Jonell Luces NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANAE JONELL LUCES (NPI 1164236824) is an individual medical provider in Bronx, New York and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shanae Jonell Luces is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
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 Shanae Luces's NPI number?
The NPI number for Shanae Luces is 1164236824. It was assigned to this individual provider in the NPPES registry on February 4, 2025.
Where is Shanae Luces located?
Shanae Luces practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5731.
What is Shanae Luces's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shanae Luces enrolled in Medicare?
Yes. Shanae Luces is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shanae Luces was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Shanae Jonell Luces · NPI 1164236824
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1164236824 (Entity type: Individual)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-5731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1164236824) · Data from the CMS NPPES public registry.