DE LUCIA ADVANCE PRACTICE
NPI 1194061879
Nurse Practitioner - Acute Care in North Bergen, NJ

Active since December 27, 2012CLIA 31D2052697 · Waiver
7617 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 854-1500(201) 854-1505 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De Lucia Advance Practice NPPES

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

DE LUCIA ADVANCE PRACTICE (NPI 1194061879) is a healthcare organization registered as an acute care in North Bergen, New Jersey and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Lauren Michele De Lucia, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1194061879
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameDE LUCIA ADVANCE PRACTICE
Location Address7617 KENNEDY BLVDNorth Bergen, NJ 07047-4024
Mailing Address7617 Kennedy BlvdNorth Bergen, NJ 07047-4024 · (201) 854-1500 · Fax (201) 854-1505
Fax(201) 854-1505
Organization SubpartNo
Authorized OfficialLauren Michele De LuciaCeo/owner · (201) 854-1500
Enumeration DateDecember 27, 2012
Last NPPES UpdateDecember 10, 2014
NPI 1194061879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NJ · 26NJ00060000
7617 KENNEDY BLVD, North Bergen, NJ 07047

Other Identifiers 1

Medicare UPINQ23636NJ

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 31D2052697

De Lucia Advance Practice LLC · North Bergen, NJ
Active · expires Jan 15, 2027
CLIA Number31D2052697
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorLauren M. De Lucia
Laboratory Phone(201) 854-1500
Laboratory LocationDe Lucia Advance Practice LLC7617 Kennedy Blvd, North Bergen, NJ 07047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Critical Care Medicine)
7617 KENNEDY BLVD
NORTH BERGEN, NJ 07047

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 De Lucia Advance Practice's NPI number?

The NPI number for De Lucia Advance Practice is 1194061879. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is De Lucia Advance Practice located?

De Lucia Advance Practice is located at 7617 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 854-1500.

What is De Lucia Advance Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Does De Lucia Advance Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2052697) is associated with this NPI, valid through January 15, 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 De Lucia Advance Practice was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.