Individual provider Active NPI

Dalibor N Kurepa

  • Neonatal-Perinatal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1174734966
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
275922 Issued in NY
Practice address
269-01 76TH Avenue
Neonatology Division Nslij
New Hyde Park, NY 11040
Phone
(718) 470-3440
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 275922 NY Primary

Addresses

Primary practice location

269-01 76TH Avenue
Neonatology Division Nslij
New Hyde Park, NY 11040

Mailing address

60 Westwood Dr
Apt 68
Westbury, NY 11590-1613
Phone (318) 780-3804

Other identifiers 1

IdentifierTypeStateIssuer
1072206MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141219000777 NY Practitioner - Pediatric Medicine 8628100492 Reassigns benefits to 1 organization
I20251217002546 OH Practitioner - Pediatric Medicine 8628100492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275922NYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center CurrentSince Oct 10, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 20, 2014 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 20, 2014 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

972 Brush Hollow Rd
Westbury, NY 11590

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1174734966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD DR",
            "address_2": "APT 68",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901613",
            "telephone_number": "318-780-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269-01 76TH AVENUE",
            "address_2": "NEONATOLOGY DIVISION NSLIJ",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREPA",
        "first_name": "DALIBOR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "275922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072206",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.