SAMUEL LUPIN MD NPI 1366646572

NPI Information

NPI: 1366646572
Provider Name: SAMUEL LUPIN, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3131 KINGS HWY
SUITE B1
BROOKLYN, NY
ZIP 11234
Phone: (845) 356-9433
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Samuel Lupin, MD is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Samuel Lupin, MD NPI is 1366646572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3131 KINGS HWY
SUITE B1
BROOKLYN, NY
ZIP 11234-644
Phone: (845) 356-9433
Fax: (845) 371-5897

The NPI 1366646572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 5/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		138014	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NZ8794	OTHER	NEW YORK	HEALTHNET
2	00799555	MEDICAID	NEW YORK
3	0035751	OTHER	NEW YORK	GHI
4	P770149	OTHER	NEW YORK	OXFORD
5	31A671	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
6	P00229761	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE RAILROAD
7	31A671	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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