Active NPI
Oleh Slupchynskyj, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- New York, NY
National Provider Identifier
1811942220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 69922
- Practice address
- 44 E 65TH St
1A
New York, NY 10021-7022 - Phone
- (212) 628-6464
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 69922 | NJ | Primary |
Addresses
Primary practice location
44 E 65TH St
1A
New York, NY 10021-7022
Mailing address
44 E 65TH St
1A
New York, NY 10021-7022
Phone (212) 628-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01744930 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69922 | NJ | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Eye Ear and Throat Hospital | Past | Accepting new patients | |
| Anjali R. Gupta, M.D. P.C. | Past | Accepting new patients | |
| Ethos Primary Care PC | Past | Accepting new patients | |
| Concentra UC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- New York, NY
- NPI 1922169689
-
- Medical Specialty Clinic/Center
- West Orange, NJ
- NPI 1245200963
-
- Internal Medicine Physician
- West New York, NJ
- NPI 1265647044
-
- Internal Medicine Physician
- Long Valley, NJ
- NPI 1912396466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1811942220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E 65TH ST",
"address_2": "1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217022",
"telephone_number": "212-628-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E 65TH ST",
"address_2": "1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217022",
"telephone_number": "212-628-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUPCHYNSKYJ",
"first_name": "OLEH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NJ",
"license": "69922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01744930",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.