Individual provider Active NPI

Sergey Lugina, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275603250
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222476 Issued in NY
Practice address
3049 Brighton 6TH Street
Unit Cu1
Brooklyn, NY 11235-6409
Phone
(718) 934-0322
Fax
(718) 934-0994
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222476 NY Primary

Addresses

Primary practice location

3049 Brighton 6TH Street
Unit Cu1
Brooklyn, NY 11235-6409

Mailing address

42 Goodall St
Staten Island, NY 10308-3396
Phone (646) 270-8647

Other identifiers 1

IdentifierTypeStateIssuer
02645494MedicaidNY

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
I20060328000127 NY Practitioner - Family Practice 2567455710 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Executive Medical Care PCGroup PAC ID 2567551849, 9 clinicians

Practice addresses (Care Compare)

3049 Brighton 6TH St
Cu1
Brooklyn, NY 11235-3020
Phone (718) 934-0322

3049 Brighton St
Unit Cu1
Brooklyn, NY 11235-6409

42 Goodall St
Staten Island, NY 10308-3396

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222476NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Medical Care,P.C. Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Oleg Karpenko Podiatry P.C. Past Accepting new patients

Locations

3049 Brighton 6th St
Unit CU1
Brooklyn, NY 11235
Phone (718) 934-0322

719 Ocean View Ave
Brooklyn, NY 11235
Phone (347) 491-3100

3049 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 934-0322

3057 Coney Island Ave
Brooklyn, NY 11235
Phone (347) 462-9170

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1275603250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GOODALL ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083396",
            "telephone_number": "646-270-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 BRIGHTON 6TH STREET",
            "address_2": "UNIT CU1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356409",
            "telephone_number": "718-934-0322",
            "fax_number": "718-934-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGINA",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.