Elizabeth Ann Recupero, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB67859 Issued in NJ

Practice address

103 Concorde PL
Mandeville, LA 70471-1854

Phone

(619) 648-1247

Fax

(888) 354-0043

NPI assigned

Nov 22, 2005

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physician Associates of South Jersey P C

  • Emergency Medicine Physician
  • Voorhees, NJ
  • NPI 1215965231
  NPD (past)
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)
• Mochi Medical KS PC

  • Obesity Medicine (Family Medicine) Physician
  • Topeka, KS
  • NPI 1558118117
  NPD (past)
• Mochi Medical NJ P.C.

  • Obesity Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1922889294
  NPD (past)
• Premier Family Healthcare PA

  • Family Medicine Physician
  • Lambertville, NJ
  • NPI 1447527171
  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1396728606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CONCORDE PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711854",
            "telephone_number": "619-648-1247",
            "fax_number": "888-354-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CONCORDE PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711854",
            "telephone_number": "619-648-1247",
            "fax_number": "888-354-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECUPERO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB67859",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "311932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL",
            "identifier": "4685447",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2144789001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL ADULTS",
            "identifier": "7685447",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "F06020",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2216217",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO (ADULTS)",
            "identifier": "2996178",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PEDIATRICS",
            "identifier": "3110885",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "RE1437759",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall L. Foto D.D.S.
• Randall L. Foto DDS
• Rapid Urgent Care, Inc.
• Amber Kathleen Rayborn
• Laura Read, NP
• Redi-Med Psychiatry (Redi-med Psychiatry LLC)
• Caroline Redman
• Leticia Redmann, FNP-C
• Refining Essentials LLC (Refine Chiro)
• Rehab Partners Inc (PAC Physical Therapy)

• Internal Medicine Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.