Individual provider Active NPI

Philip John Lopresti, DO

  • Surgery Physician
  • New York, NY
National Provider Identifier
1417047648
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
194532 Issued in NY
Practice address
111 E 57TH St RM 202
New York, NY 10022-2645
Phone
(866) 607-2308
NPI assigned
Oct 16, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB06674000 NJ
Surgery Physician 208600000X 194532 NY Primary

Addresses

Primary practice location

111 E 57TH St RM 202
New York, NY 10022-2645

Mailing address

6860 Austin St Ste 400
Forest Hills, NY 11375-4245
Phone (248) 855-5355

Other practice location 1

83 Hanover Rd Ste 230
Florham Park, NJ 07932-1508
Phone (866) 607-2308

Other practice location 2

10810 72nd Ave
Forest Hills, NY 11375-5338
Phone (718) 261-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050721000706 NY Practitioner - General Surgery 4284661125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

6860 Austin St
Suite 400
Forest Hills, NY 11375-4245
Phone (866) 607-2308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194532NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC Surgery CurrentSince Nov 1, 2019 Accepting new patients
MVC PA PLLC Surgery PastSince Apr 21, 2024 Accepting new patients
John Biordi OB-GYN, PC PastSince Aug 8, 2007 Accepting new patients
Steven a. Klein, M.D. P.C PastSince Jul 24, 2022 Accepting new patients
TJH Medical Services, P.C. Surgery Past Accepting new patients

Locations (25 of 28)

400 Broadacres Dr
Ste 140
Bloomfield, NJ 07003

525 Jack Martin Blvd
Ste 200
Brick, NJ 08724
Phone (732) 836-9669

200 Metroplex Dr
Ste 410
Edison, NJ 08817

83 Hanover Rd
Ste 230
Florham Park, NJ 07932

385 Prospect Ave
Ste 316
Hackensack, NJ 07601
Phone (201) 581-0773

26 Journal Sq
Ste 205
Jersey City, NJ 07306

1000 Atrium Way
Ste 103
Mount Laurel, NJ 08054
Phone (856) 235-9995

811 Executive Dr
Ste 316
Princeton, NJ 08540

855 Lehigh Ave
Ste 201
Union, NJ 07083

1680 Route 23
Ste 330
Wayne, NJ 07470

2747 Crescent St
Ste 107
Astoria, NY 11102
Phone (718) 728-3200

34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308

522 Courtlandt Ave
Fl 2
Bronx, NY 10451
Phone (718) 312-6476

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

1636 E 14th St
Ste 104
Brooklyn, NY 11229

150 Meserole St
Fl 2
Brooklyn, NY 11206
Phone (866) 907-2308

408 Jay St
Ste 400
Brooklyn, NY 11201

150 Meserole St
Fl Second
Brooklyn, NY 11206

51 Atlantic Ave
Fl 100
Floral Park, NY 11001
Phone (914) 426-7423

6860 Austin St
Ste 400
Forest Hills, NY 11375
Phone (718) 730-9034

115 Broadhollow Rd
Ste 320
Melville, NY 11747

100 Crosby St
Rm 406
New York, NY 10012
Phone (212) 822-3515

111 E 57th St
Rm 202
New York, NY 10022
Phone (646) 921-6266

1500 Route 112
Bldg 10
Port Jefferson Station, NY 11776
Phone (631) 476-7300

3010 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 251-1261

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1417047648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "248-855-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 57TH ST RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222645",
            "telephone_number": "866-607-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Hanover Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321508",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10810 72nd Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113755338",
            "country_code": "US",
            "telephone_number": "718-261-1471",
            "fax_number": "718-261-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPRESTI",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB06674000",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "194532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.