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

Dr. Jaclyn Marie Coletta Lucas

Individual provider Maternal & Fetal Medicine Physician · NPI 1477759611

Dr. Jaclyn Marie Coletta Lucas is an Obstetrics/Gynecology in New York, New York. Qualified in 2005, 21 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

622 W 168th St Ph 16-66
New York, NY 10032-3720
Phone: (212) 305-6293
Fax: (212) 342-2717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 241653 (NY)

Record details

NPI number1477759611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New York