Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LAWRENCE VILLANUEVA DO
NPI 1881386795
Family Medicine in Newark, NJ

Active since May 22, 2023PECOS Enrolled
292 LAFAYETTE ST, NEWARK, NJ 07105(973) 672-8573(973) 675-0040 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, May 22, 2023 (2 updates tracked since 2023).

About Dr. Lawrence Villanueva Do NPPES

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

DR. LAWRENCE VILLANUEVA DO (NPI 1881386795) is an individual family medicine provider in Newark, New Jersey, licensed in New Jersey (25MB13174200) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2023).

NPPES Registry Identity

NPI1881386795
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAWRENCE VILLANUEVACredential: DO
Location Address292 LAFAYETTE STNewark, NJ 07105-6122
Mailing Address176 Palisade AveJersey City, NJ 07306-1196 · (201) 795-8200
Fax(973) 675-0040
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2023
Enumeration DateMay 22, 2023
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1881386795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB13174200
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.
292 LAFAYETTE ST, Newark, NJ 07105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lawrence Villanueva Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496212367
PECOS Enrollment IDI20260811001852
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Lawrence Villanueva reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
346 ROSEVILLE AVE
Newark, NJ 07107
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
Internal Medicine
485-491 MT PROSPECT AVE 1ST FLOOR
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
Internal Medicine
485 MOUNT PROSPECT AVE, GROUND FLOOR
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 30 clinicians in this Medicare group
Internal Medicine
570 PARK AVE
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 46 clinicians in this Medicare group
Internal Medicine
613 PARK AVE FL 2
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 81 clinicians in this Medicare group
Geriatric Medicine
613 PARK AVE FL 1
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
292 LAFAYETTE ST
NEWARK, NJ 07105
Internal Medicine
292 LAFAYETTE ST
NEWARK, NJ 07105

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 Lawrence Villanueva's NPI number?

The NPI number for Lawrence Villanueva is 1881386795. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Lawrence Villanueva located?

Lawrence Villanueva practices at 292 Lafayette St, Newark, NJ 07105. The listed phone number is (973) 672-8573.

What is Lawrence Villanueva's specialty?

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

Is Lawrence Villanueva enrolled in Medicare?

Yes. Lawrence Villanueva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lawrence Villanueva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Villanueva reassigns Medicare benefits to 6 organizations: Roseville Medical Society LLC (Newark, NJ), North Ward Medical Arts LLC (Newark, NJ), Newark Vein And Vascular Center LLC (Newark, NJ), Metropolitan Medical Group LLC (East Orange, NJ), Salerno Medical Associates, LLC (East Orange, NJ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Villanueva accept?

Health plans from Ambetter Health and Oscar Health list Lawrence Villanueva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Villanueva was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.