Individual provider Active NPI

Yan Lupyan, MD

  • Neurology Physician
  • East Brunswick, NJ
National Provider Identifier
1841220829
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
63773 Issued in NJ
Practice address
6 Cornwall Court
Suite E
East Brunswick, NJ 08816
Phone
(732) 257-0003
Fax
(732) 651-8023
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 63773 NJ Primary

Addresses

Primary practice location

6 Cornwall Court
Suite E
East Brunswick, NJ 08816

Mailing address

6 Cornwall Court
Suite E
East Brunswick, NJ 08816
Phone (732) 257-0003

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
I20040422001471 NY Practitioner - NeurologyPractitioner - Interventional Pain Management 7719970532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Group, PLLCGroup PAC ID 9638060452, 2 clinicians

Practice addresses (Care Compare)

7620 Bay Pkwy
1A
Brooklyn, NY 11214-1534
Phone (718) 232-1022

Merit-based Incentive Payment System (MIPS)

Final score
23.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63773NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Group, PLLC Neurology CurrentSince Nov 18, 1998 Accepting new patients
Neurology Group, PLLC Neurology Current Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients

Locations

7620 Bay Pkwy
Ste 1A
Brooklyn, NY 11214
Phone (718) 232-1022

9952 66th Rd
#2
Rego Park, NY 11374
Phone (718) 459-2848

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1841220829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CORNWALL COURT",
            "address_2": "SUITE E",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-0003",
            "fax_number": "732-651-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CORNWALL COURT",
            "address_2": "SUITE E",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-0003",
            "fax_number": "732-651-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPYAN",
        "first_name": "YAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "63773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.