Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braxton Lucero

Individual provider Physician Assistant · NPI 1629633797

Braxton Lucero is a Physician Assistant in Belleville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2019.

Licensed in
NJ
In the registry since
2019

Practice location Address checks out

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone: (973) 450-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00534400 (NJ)

Record details

NPI number1629633797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESAugust 20, 2019
Mailing address30 Ardsley Ct, East Brunswick, NJ 08816-3673

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