Walter Szczupak, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

147105 Issued in NY

Practice address

1345 Motor Pkwy FL 1
Hauppauge, NY 11749-5208

Phone

(631) 855-1201

Fax

(631) 630-6299

NPI assigned

Sep 12, 2006

Last updated

Sep 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: walter.szczupak@direct.stonybrookmedicine.edu

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.

• Port Neurology PC

  • Specialist
  • Port Jefferson, NY
  • NPI 1417024001
  NPD (past)
• Prohealth Care Associates, LLP

  • Physical Therapist
  • Carmel, NY
  • NPI 1508324898
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1518061050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-0650",
            "fax_number": "631-638-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MOTOR PKWY FL 1",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117495208",
            "telephone_number": "631-855-1201",
            "fax_number": "631-630-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZUPAK",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "147105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300022655",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00925993",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER PIN",
            "identifier": "37D62EC831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Sutton, P.T.
• Suzanne Bergmann LCSW PLLC
• Svetina &Haven Psychology Services,PLLC
• Marie C Sweeney, NP
• SWM LCSW Practice
• Margery E. Tannenbaum, LCSW
• Eriberto Ocana Tanpiengco Jr., BSN
• Kristy Anne Tarsia
• Gale Tauberer, SLP.D.
• Samantha Anne Tavel

• Pulmonary Disease Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.