Organization Active NPI

Neurology Group, PLLC

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1336185313
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
196730 Issued in NY
Legal business name
NEUROLOGY GROUP, PLLC
Practice address
7620 Bay Pkwy Ste 1a
Brooklyn, NY 11214-1516
Phone
(718) 232-1022
Fax
(718) 232-1014
NPI assigned
Jun 20, 2006
Last updated
Oct 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Yan Lupyan, MDNPI 1841220829
Title
Owner
Phone
(718) 232-1022

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
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 196730 NY Primary

Addresses

Primary practice location

7620 Bay Pkwy Ste 1a
Brooklyn, NY 11214-1516

Mailing address

7620 Bay Pkwy Ste 1a
Brooklyn, NY 11214-1516
Phone (718) 232-1022

Other identifiers 1

IdentifierTypeStateIssuer
1336185313OtherNYNPI 1336185313

Other names 1

  • Yan Lupyan, Vladimir Zlatnik Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000448 NY Part B Supplier - Clinic/Group Practice 9638060452 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9952 66th Rd
#2
Rego Park, NY 11374
Phone (718) 459-2848

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1336185313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 BAY PKWY STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1022",
            "fax_number": "718-232-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 BAY PKWY STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-232-1022",
            "fax_number": "718-232-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "LUPYAN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-1022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "196730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1336185313",
            "identifier": "1336185313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yan Lupyan, Vladimir Zlatnik",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 18, 2011; 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.