Organization Active NPI

Laura Kuperman, MD. PC

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
National Provider Identifier
1093984858
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206549 Issued in NY
Legal business name
LAURA KUPERMAN, MD. PC
Practice address
10848 70TH Rd
Suite 2E
Forest Hills, NY 11375-3961
Phone
(718) 261-1112
Fax
(718) 261-6040
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Laura Kuperman, MDNPI 1467465617
Title
Owner
Phone
(718) 261-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 206549 NY Primary

Addresses

Primary practice location

10848 70TH Rd
Suite 2E
Forest Hills, NY 11375-3961

Mailing address

55 Fernwood LN
Roslyn, NY 11576-1429
Phone (718) 261-1112

Other identifiers 1

IdentifierTypeStateIssuer
01921851MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090109000074 NY Part B Supplier - Clinic/Group Practice 5092878579 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1093984858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FERNWOOD LN",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761429",
            "telephone_number": "718-261-1112",
            "fax_number": "718-261-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10848 70TH RD",
            "address_2": "SUITE 2E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753961",
            "telephone_number": "718-261-1112",
            "fax_number": "718-261-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA KUPERMAN, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "KUPERMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-261-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.