National Provider Identifier Database

LUMINATE MEDICAL MSO LLC
Home Infusion


Contact Information

LUMINATE MEDICAL MSO LLC
169 MADISON AVE STE 11225
NEW YORK, NY10016-5101
Phone: 855-600-0479
Fax: 888-522-6358
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for LUMINATE MEDICAL MSO LLC

NPI Number 1962353797
Legal business name
LBN
LUMINATE MEDICAL MSO LLC
Authorized official TANYA GOLOVANOFF - (VP PHARMACY & CARE DELIVERY)
Entity Organization
Organization subpart No
Enumeration date 02/06/2026
Last updated 02/10/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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