MR. SIMON GABRIEL KUPCHIK MD NPI 1770578098

NPI Information

NPI: 1770578098
Provider Name: MR. SIMON GABRIEL KUPCHIK, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
948 48TH STREET
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8260
Get Directions

MR. Simon Gabriel Kupchik, MD is a clinical genetics (m.d.) medical genetics in Brooklyn, NY. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. MR. Simon Gabriel Kupchik, MD NPI is 1770578098. 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:

948 48TH STREET
BROOKLYN, NY
ZIP 11219
Phone: (718) 283-8260
Fax: (718) 283-6147

The NPI 1770578098 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 9/13/2005 and was last updated on 2/13/2014.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	176882	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	113491197	OTHER	NEW YORK	MULTIPLAN
2	113491197	OTHER	NEW YORK	PHCS
3	176882-B15	OTHER	NEW YORK	HEALTH FIRST
4	2601597	OTHER	NEW YORK	GHI
5	4609674	OTHER	NEW YORK	AETNA PPO
6	4C0555	OTHER	NEW YORK	HEALTH NET
7	176882	OTHER	NEW YORK	HIP
8	20I691	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
9	1B0001	OTHER	NEW YORK	EMPIRE BCBS
10	68N0081	OTHER	NEW YORK	NEIGHBORHOOD HEALTH
11	01283861	MEDICAID	NEW YORK
12	2423247	OTHER	NEW YORK	AETNA USHC HMO
13	BK00818-02	OTHER	NEW YORK	AMERICHOICE
14	KG6882	OTHER	NEW YORK	ATLANTIS HEALTH PLAN
15	P2103443	OTHER	NEW YORK	OXFORD HEALTH PLANS
16	113491197	OTHER	NEW YORK	HORIZON HEALTHCARE NY
17	1491411	OTHER	NEW YORK	UNITED HEALTH CARE
18	258990201	OTHER	NEW YORK	HEALTH PLUS
19	F27936	MEDICARE UPIN	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: 11/14/2023

NPI Synchronization or Removal

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