Individual provider Active NPI

Charles Thomas Lapunzina, MD

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1598042426
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
079770-1 Issued in NY
Practice address
736 Burns St
Forest Hills, NY 11375-6134
Phone
(917) 689-3320
NPI assigned
Nov 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2011

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 079770-1 NY Primary

Addresses

Primary practice location

736 Burns St
Forest Hills, NY 11375-6134

Mailing address

736 Burns St
Forest Hills, NY 11375-6134
Phone (917) 689-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
079770-1NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1598042426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BURNS ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756134",
            "telephone_number": "917-689-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BURNS ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756134",
            "telephone_number": "917-689-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPUNZINA",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "079770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; 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.