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

Lucas Giovanni Botello

Individual provider Physician Assistant · NPI 1548107550

Lucas Giovanni Botello is a Physician Assistant in Highland Park, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1120 Raritan Ave Fl 1
Highland Park, NJ 08904-3606
Phone: (609) 994-6818
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548107550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address1120 Raritan Ave Fl 1, Highland Park, NJ 08904-3606

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