Healthcare Provider Details

I. General information

NPI: 1578484101
Provider Name (Legal Business Name): LUMIN HEALTH NEW JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 WASHBURN ST STE 4A
JERSEY CITY NJ
07306-1713
US

IV. Provider business mailing address

10 LANGLEY RD STE 200
NEWTON MA
02459-1972
US

V. Phone/Fax

Practice location:
  • Phone: 617-863-8810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN YUDKOFF
Title or Position: OWNER
Credential: MD
Phone: 617-863-8810