Individual provider Active NPI

Laurie Kupryk, PA-C

  • Physician Assistant
  • Springfield, NJ
National Provider Identifier
1891289914
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00603500 Issued in NJ
Practice address
90 Route 22
Springfield, NJ 07081-3110
Phone
(973) 467-2273
NPI assigned
Jun 21, 2018
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00603500 NJ Primary
Surgical Physician Assistant 363AS0400X 022081 NY
Physician Assistant 363A00000X 022081 NY
Medical Physician Assistant 363AM0700X MK6383513 NJ

Addresses

Primary practice location

90 Route 22
Springfield, NJ 07081-3110

Mailing address

1777 Hamburg Tpke Ste 304
Wayne, NJ 07470-5243
Phone (973) 444-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180910001464 NY Practitioner - Physician Assistant 2961752142 Reassigns benefits to 1 organization
I20230303002467 NJ Practitioner - Physician Assistant 2961752142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

328 W Saint Georges Ave
Linden, NJ 07036-5638

90 Route 22
Springfield, NJ 07081-3110
Phone (973) 467-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022081NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Sep 6, 2025 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Sep 6, 2025 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

90 US Highway 22 W
Springfield, NJ 07081
Phone (973) 467-0963

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1891289914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 304",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-444-4558",
            "fax_number": "973-444-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROUTE 22",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813110",
            "telephone_number": "973-467-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPRYK",
        "first_name": "LAURIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00603500",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "022081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022081",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MK6383513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.