Active NPI
Alexander Lupenko, MD
- Internal Medicine Physician
- Valley Stream, NY
National Provider Identifier
1912944257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 172211
- Practice address
- 70 E Sunrise Hwy
5TH Floor
Valley Stream, NY 11581-1233 - Phone
- (516) 825-3600
- Fax
- (516) 823-2096
- NPI assigned
- Jun 2, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 172211 | NY | Primary |
Addresses
Primary practice location
70 E Sunrise Hwy
5TH Floor
Valley Stream, NY 11581-1233
Mailing address
70 E Sunrise Hwy
5TH Floor
Valley Stream, NY 11581-1233
Phone (516) 825-3600
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172211 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Long Island Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1912944257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E SUNRISE HWY",
"address_2": "5TH FLOOR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811233",
"telephone_number": "516-825-3600",
"fax_number": "516-823-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E SUNRISE HWY",
"address_2": "5TH FLOOR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811233",
"telephone_number": "516-825-3600",
"fax_number": "516-823-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPENKO",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "172211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.