Active NPI
Diane Lupow, MS OTR/L
- Specialist
- Brooklyn, NY
National Provider Identifier
1184935561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 012240-1
- Practice address
- 20 Bergen St
Brooklyn, NY 11201-6302 - Phone
- (718) 625-3939
- Fax
- (718) 625-1456
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 012240-1 | NY | Primary |
Addresses
Primary practice location
20 Bergen St
Brooklyn, NY 11201-6302
Mailing address
150 W 51St St
#824
New York, NY 10019-6836
Phone (212) 842-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012240-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1184935561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W 51ST ST",
"address_2": "#824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196836",
"telephone_number": "212-842-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BERGEN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016302",
"telephone_number": "718-625-3939",
"fax_number": "718-625-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPOW",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "012240-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.