Individual provider Active NPI

Robert Lapenna, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1063553683
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170725 Issued in NY
Practice address
4864 Arthur Kill Rd
Staten Island, NY 10309-2650
Phone
(718) 317-2300
Fax
(718) 356-4130
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 170725 NY Primary

Addresses

Primary practice location

4864 Arthur Kill Rd
Staten Island, NY 10309-2650

Mailing address

1130 Victory Blvd
Staten Island, NY 10301-3623
Phone (718) 442-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000107 NY Practitioner - Internal Medicine 4981783131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1130 Victory Blvd
Staten Island, NY 10301-3623
Phone (718) 442-1311

Hospital & facility affiliations

  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Lapenna M.D, PC Internal Medicine CurrentSince Mar 1, 2002 Accepting new patients
Amboy Medical Practice PC Internal Medicine PastSince Sep 1, 2024 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1130 Victory Blvd
Staten Island, NY 10301
Phone (718) 442-1003

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

4864 Arthur Kill Rd
Staten Island, NY 10309
Phone (646) 801-6367

Interoperability endpoints

  • Direct secure messaging: robert.lapenna@om-ny.direct.office.nextgen.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1063553683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013623",
            "telephone_number": "718-442-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092650",
            "telephone_number": "718-317-2300",
            "fax_number": "718-356-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPENNA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.