NPIMap

Organization Active NPI

Samuel Lupin MD PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1861538498
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138014 Issued in NY
Legal business name
SAMUEL LUPIN MD PC
Practice address
3131 Kings Hwy
Suite A7
Brooklyn, NY 11234-2644
Phone
(718) 360-9370
Fax
(917) 621-3151
NPI assigned
Jan 30, 2007
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Dr. Samuel Lupin, MDNPI 1366646572
Title
President
Phone
(845) 356-9433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 138014 NY Primary

Addresses

Primary practice location

3131 Kings Hwy
Suite A7
Brooklyn, NY 11234-2644

Mailing address

20 Charlotte Dr
Spring Valley, NY 10977-1126
Phone (718) 360-9370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1861538498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHARLOTTE DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771126",
            "telephone_number": "718-360-9370",
            "fax_number": "917-621-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-360-9370",
            "fax_number": "917-621-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL LUPIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "LUPIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-356-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "138014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.