Organization Active NPI

Expert Medical Services LLC

  • Legal Medicine
  • New York, NY
National Provider Identifier
1215019377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
EXPERT MEDICAL SERVICES LLC
Practice address
205 -14, Suite 210
Francis Lewis Blvd, St Albans
New York, NY 11412
Phone
(718) 276-7935
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jean Louis Max Dupiton, MDNPI 1194831958
Title
MD
Phone
(718) 276-7935

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X NY Primary

Addresses

Primary practice location

205 -14, Suite 210
Francis Lewis Blvd, St Albans
New York, NY 11412

Mailing address

246-07 136TH Road
Rosedale, Queens
Rosedale, NY 11422
Phone (718) 276-2932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000233 NY Part B Supplier - Clinic/Group Practice 4284651738 Receives reassigned benefits from 58 practitioners
Practice locations: Floral Park, NY; Jericho, NY

National Provider Directory

National Provider Directory

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

Practitioners & affiliated clinicians

Practitioners 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215019377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246-07 136TH ROAD",
            "address_2": "ROSEDALE, QUEENS",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "718-276-2932",
            "fax_number": "718-528-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 -14, SUITE 210",
            "address_2": "FRANCIS LEWIS BLVD, ST ALBANS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "718-276-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUPITON",
        "authorized_official_first_name": "JEAN LOUIS",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-276-7935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.