Individual provider Active NPI

Eve Lupenko, M.D.

  • Dermatology Physician
  • Woodbury, NY
National Provider Identifier
1699749713
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200825 Issued in NY
Practice address
160 Crossways Park Dr
Woodbury, NY 11797
Phone
(516) 364-4200
Fax
(516) 494-7031
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200825 NY Primary

Addresses

Primary practice location

160 Crossways Park Dr
Woodbury, NY 11797

Mailing address

160 Crossways Park Dr
Woodbury, NY 11797-2028
Phone (516) 364-4200

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
I20111222000080 NY Practitioner - Dermatology 8628244654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenberg Medical Services PCGroup PAC ID 3971864489, 4 clinicians

Practice addresses (Care Compare)

160 Crossways Park Dr
Woodbury, NY 11797-2028
Phone (516) 364-4200

Merit-based Incentive Payment System (MIPS)

Final score
91.33 of 100Reported as individual
Quality
82.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1667
Skin biopsy506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200825NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenberg Medical Services PC Dermatology CurrentSince Jan 1, 2018 Accepting new patients
Stephen T. Greenberg MD PC Past Accepting new patients

Locations

222 E Middle Country Rd
Ste 228
Smithtown, NY 11787
Phone (631) 265-1351

365 County Road 39A
Unit 7
Southampton, NY 11968
Phone (631) 288-7120

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

Networks

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

Interoperability endpoints

  • Direct secure messaging: elupenko@directaddress.net
  • Direct secure messaging: evl9020@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1699749713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972028",
            "telephone_number": "516-364-4200",
            "fax_number": "516-494-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-364-4200",
            "fax_number": "516-494-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPENKO",
        "first_name": "EVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "200825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.