Active NPI
Dalibor N Kurepa
- Neonatal-Perinatal Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 275922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1072206 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 275922 | NY | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Medical Center | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | 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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
dba Steven & Alexandra Cohen Children's Medical Center of New York
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.