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NICHOLAS JOHN LUCZEJKO SR. CRNA
NPI 1922522309
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since July 27, 2017
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-7979 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas John Luczejko Sr. Crna NPPES

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

NICHOLAS JOHN LUCZEJKO SR. CRNA (NPI 1922522309) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (117352) and active in the NPI registry since July 2017. He is a graduate of Jefferson Medical College Of Thomas Jefferson University (2017).

NPPES Registry Identity

NPI1922522309
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS JOHN LUCZEJKO SR.Credential: CRNA
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing Address1043 Fernon StPhiladelphia, PA 19148-1107
Phone(215) 456-7979
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2017
Enumeration DateJuly 27, 2017
✔ NPI 1922522309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · 117352
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
5501 OLD YORK RD, Philadelphia, PA 19141
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas John Luczejko Sr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941566921
PECOS Enrollment IDI20171107002704

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Luczejko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan Inc
Same address
Anatomic Pathology & Clinical Pathology
5501 OLD YORK RD
Phila, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1114970407 (215) 456-6157
Rlm Anesthesia Consultants PLLC
10 mi
Anesthesiology
1200 CONSTITUTION AVE STE 110
Philadelphia, PA 19112
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1033827324 (215) 287-5572

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

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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Nicholas Luczejko's NPI number?

The NPI number for Nicholas Luczejko is 1922522309. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Nicholas Luczejko located?

Nicholas Luczejko practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-7979.

What is Nicholas Luczejko's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Luczejko enrolled in Medicare?

Yes. Nicholas Luczejko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Luczejko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Luczejko reassigns Medicare benefits to 2 organizations: Einstein Practice Plan Inc (Phila, PA) and Rlm Anesthesia Consultants PLLC (Philadelphia, PA). 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 Nicholas Luczejko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Luczejko was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.