Individual provider Active NPI

Lynn E Bezpalko, D.O.

  • Otolaryngology Physician
  • Manahawkin, NJ
National Provider Identifier
1356417570
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MB06604900 Issued in NJ
Practice address
77 Nautilus Dr
Manahawkin, NJ 08050-2448
Phone
(609) 597-0321
Fax
(609) 597-0014
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MB06604900 NJ Primary

Addresses

Primary practice location

77 Nautilus Dr
Manahawkin, NJ 08050-2448

Mailing address

77 Nautilus Dr
Manahawkin, NJ 08050-2448
Phone (609) 597-0321

Other identifiers 1

IdentifierTypeStateIssuer
DO7250800OtherNJCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110620000606 NJ Practitioner - Otolaryngology 4385821255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Ocean Otolaryngology,PAGroup PAC ID 4981659281, 2 clinicians

Practice addresses (Care Compare)

77 Nautilus Dr
Manahawkin, NJ 08050-2448
Phone (609) 597-0321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06604900NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ocean Otolaryngology,PA Otolaryngology CurrentSince Jan 1, 1970 Accepting new patients

Locations

77 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 597-0321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEGBA/Endpoint/IGEGBA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356417570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502448",
            "telephone_number": "609-597-0321",
            "fax_number": "609-597-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502448",
            "telephone_number": "609-597-0321",
            "fax_number": "609-597-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZPALKO",
        "first_name": "LYNN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MB06604900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "DO7250800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.