Individual provider Active NPI

Lucinda Leonor Ripoll, M. D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1609864339
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196472 Issued in NY
Practice address
2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344
Phone
(718) 351-1136
Fax
(718) 667-9711
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 196472 NY Primary

Addresses

Primary practice location

2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344

Mailing address

2627 Hylan Boulevard
Suite C
Staten Island, NY 10306-4344
Phone (718) 351-1136

Other identifiers 1

IdentifierTypeStateIssuer
01523468MedicaidNY

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
I20040721001717 NY Practitioner - Internal Medicine 6103806021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Medical Specialists, PLLCGroup PAC ID 9436137817, 4 clinicians

Practice addresses (Care Compare)

2627 Hylan Blvd
Suite C
Staten Island, NY 10306-4344
Phone (718) 351-1136

2627 Hylan Blvd C
Staten Island, NY 10306-4344

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 351-1136

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Hospital & facility affiliations

  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Staten Island University Hospital Univ Hospice Hospice, Staten Island, NY, CCN 331551
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Golden Gate Rehabilitation & Health Care Center Nursing home, Staten Island, NY, CCN 335502

Merit-based Incentive Payment System (MIPS)

Final score
72.16 of 100Reported as group
Quality
39.71
Improvement activities
40
Cost
67.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Specialists, P.L.L.C. Internal Medicine CurrentSince Feb 1, 2004 Accepting new patients
Golden Gate Rehabilitation & Health Care Center LLC PastSince Aug 1, 2001 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

97 New Dorp Ln
Ste A
Staten Island, NY 10306

347 Edison St
Staten Island, NY 10306
Phone (718) 351-1136

Networks

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

Interoperability endpoints

  • Direct secure messaging: lripoll66393@northwell.direct-ci.com
  • Direct secure messaging: lucindaripoll@imspllc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Golden Gate Rehabilitation and Health Care CenterStaten Island, NY, CCN 335502 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2001
Aug 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609864339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 HYLAN BOULEVARD",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064344",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 HYLAN BOULEVARD",
            "address_2": "SUITE C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064344",
            "telephone_number": "718-351-1136",
            "fax_number": "718-667-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPOLL",
        "first_name": "LUCINDA",
        "middle_name": "LEONOR",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.