Active NPI
Mark Elliott Hupart, DPM
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1306911680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004686
- Practice address
- 2123 E 70TH St
Brooklyn, NY 11234-6101 - Phone
- (718) 241-2000
- Fax
- (718) 241-2000
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004686 | NY | Primary |
Addresses
Primary practice location
2123 E 70TH St
Brooklyn, NY 11234-6101
Mailing address
2123 E 70TH St
Brooklyn, NY 11234
Phone (718) 241-5764
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06719 | Other | NY | MEDICARE GHI |
| 1306911680 | Other | NY | MEDICARE |
| 01180363 | Medicaid | NY | |
| 1306911680 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2123 E 70TH St
Brooklyn, NY 11234-6101
Phone (718) 241-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 909 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004686 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Elliott Hupart Doctor of Podiatric Medicine LLC | Podiatrist | Current | Accepting new patients |
| Southside Podiatry PC | Podiatrist | Current | Accepting new patients |
Locations
903 E 82nd St
Brooklyn, NY 11236
Phone (347) 721-4736
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.
-
- Podiatrist
- Brooklyn, NY
- NPI 1922309087
-
- Podiatrist
- Brooklyn, NY
- NPI 1205968799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1306911680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 E 70TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-241-5764",
"fax_number": "718-241-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 E 70TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346101",
"telephone_number": "718-241-2000",
"fax_number": "718-241-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUPART",
"first_name": "MARK",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GHI",
"identifier": "06719",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1306911680",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01180363",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306911680",
"state": "NY"
}
],
"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 Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.