Active NPI
Lynn E Bezpalko, D.O.
- Otolaryngology Physician
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MB06604900
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO7250800 | Other | NJ | CDS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06604900 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Ocean Otolaryngology,PA | Otolaryngology | Current | Accepting new patients |
Locations
77 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 597-0321
Interoperability endpoints
- 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.
-
- Otolaryngology Physician
- Manahawkin, NJ
- NPI 1285701862
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Ocean Medical Center
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.