Bianca Blaze Luparello, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

73 Carlton Ave Apt C39
Port Washington, NY 11050-3548

Phone

(516) 491-4117

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1225672736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CARLTON AVE APT C39",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CARLTON AVE APT C39",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503548",
            "telephone_number": "516-491-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPARELLO",
        "first_name": "BIANCA",
        "middle_name": "BLAZE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Self",
            "affiliation": "N",
            "address_1": "73 Carlton Ave Apt C39",
            "city": "Port Washington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110503548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frances R Lopilato, RN
• Christopher Lorentzen, M.S., L.AC.
• Herbert Dennis Lovens, MSW
• LTC Provider Management Corp
• Patricia M Lundy, LCSW PLLC
• Robert Joseph Lynch
• M Aguilar Mental Health Counseling PC
• M&M USA Inc.
• Lan Ma, L.AC.
• Lionel U Mailloux, MD

• Athletic Trainer in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.