Active NPI
Shlomo Kuperman MD PLLC
- Internal Medicine Physician
- Great Neck, NY
National Provider Identifier
1346013331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SHLOMO KUPERMAN MD PLLC
- Practice address
- 199 Community Dr
Great Neck, NY 11021-5502 - Phone
- (631) 271-9151
- Fax
- (631) 271-9155
- NPI assigned
- Nov 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shlomo Kuperman, MD
- Title
- Owner
- Phone
- (631) 271-9151
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
199 Community Dr
Great Neck, NY 11021-5502
Mailing address
P.O. Box 1213
Melville, NY 11747-2732
Phone (631) 271-9151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1346013331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1213",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472732",
"telephone_number": "631-271-9151",
"fax_number": "631-271-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215502",
"telephone_number": "631-271-9151",
"fax_number": "631-271-9155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHLOMO KUPERMAN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "KUPERMAN",
"authorized_official_first_name": "SHLOMO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-271-9151",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.