NPIMap

Individual provider Active NPI

Marek Robert Lupicki, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1508967746
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NJMA64530 Issued in NJ
Practice address
200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842
Phone
(732) 553-1000
Fax
(732) 553-1003
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NJMA64530 NJ Primary

Addresses

Primary practice location

200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842

Mailing address

200 Perrine Rd
Suite 211
Old Bridge, NJ 08857-2842
Phone (732) 553-1000

Other identifiers 1

IdentifierTypeStateIssuer
7162308MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000041 NJ Practitioner - Internal Medicine 9133177025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Perrine Rd
Old Bridge, NJ 08857-2836
Phone (732) 553-1000

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Vitality Hospice and Palliative Care Hospice, Burlington, NJ, CCN 311588
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Autumn Lake Healthcare at Old Bridge Nursing home, Old Bridge, NJ, CCN 315381

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJMA64530NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marek R. Lupicki MD PC Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Rehabilitation and Electrodiagnostics Inc CurrentSince Aug 16, 2004 Accepting new patients
Venetian Care and Rehabilitation Center Past Accepting new patients

Locations

200 Perrine Rd
Ste 211
Old Bridge, NJ 08857
Phone (732) 353-1000

Organizations & group practices 3

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 10

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1508967746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 211",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-553-1000",
            "fax_number": "732-553-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 211",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-553-1000",
            "fax_number": "732-553-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPICKI",
        "first_name": "MAREK",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "NJMA64530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7162308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.