Individual provider Active NPI

Ulysses Scarpidis, MD, MPA

  • Plastic Surgery Physician
  • Newark, NJ
National Provider Identifier
1205004603
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
245842-1 Issued in NY
Practice address
140 Bergen St
Suite E1620
Newark, NJ 07103-2425
Phone
(732) 707-4311
Fax
(732) 588-5533
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 245842-1 NY Primary

Addresses

Primary practice location

140 Bergen St
Suite E1620
Newark, NJ 07103-2425

Mailing address

315 W 57TH St
Suite 405
New York, NY 10019-3158
Phone (732) 707-4311

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
I20120323000247 NY Practitioner - Plastic and Reconstructive Surgery 0042377533 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W 57TH St
Suite 508
New York, NY 10019-3203
Phone (212) 951-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245842-1NYMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: uls9003@direct.nyp.org
  • Direct secure messaging: uscarpidis190212@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1205004603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST",
            "address_2": "SUITE 405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193158",
            "telephone_number": "732-707-4311",
            "fax_number": "732-588-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST",
            "address_2": "SUITE E1620",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "732-707-4311",
            "fax_number": "732-588-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPIDIS",
        "first_name": "ULYSSES",
        "name_prefix": "Dr.",
        "credential": "MD, MPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "245842-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.