Healthcare Provider Details

I. General information

NPI: 1932951266
Provider Name (Legal Business Name): MEGAN LUCAS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MADISON AVE FL 2
MORRISTOWN NJ
07960-7337
US

IV. Provider business mailing address

40 MARKET ST APT 517
MORRISTOWN NJ
07960-5458
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5700
  • Fax: 973-290-7417
Mailing address:
  • Phone: 973-590-6761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ15378900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: