Active NPI
Mihai Z. Lupovici, MD
- Gastroenterology Physician
- East Windsor, NJ
National Provider Identifier
1922089671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 34309
- Practice address
- 254 Princeton Hightstown Rd
East Windsor, NJ 08520-1402 - Phone
- (609) 448-7200
- Fax
- (609) 448-4607
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34309 | NJ | |
| Gastroenterology Physician | 207RG0100X | 34309 | NJ | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 34309 | NJ |
Addresses
Primary practice location
254 Princeton Hightstown Rd
East Windsor, NJ 08520-1402
Mailing address
254 Princeton Hightstown Rd
East Windsor, NJ 08520-1402
Phone (609) 448-7200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0666967013 | Other | CIGNA SPECIALIST | |
| 0107057000 | Other | AMERIHEALTH | |
| 0830305 | Medicaid | NJ | |
| 1543982 | Other | UNITED HEALTHCARE | |
| 516050 | Other | AETNA HMO | |
| 222320221 | Other | NJ | HORIZON BLUE CROSS BLUE SHIELD |
| 0666967014 | Other | CIGNA PRIMARY | |
| 4058986 | Other | AETNA PPO | |
| 11100 | Other | MASTERCARE | |
| DR8706 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000017 | NJ | Practitioner - Gastroenterology | 7113949280 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34309 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1922089671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 PRINCETON HIGHTSTOWN RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201402",
"telephone_number": "609-448-7200",
"fax_number": "609-448-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 PRINCETON HIGHTSTOWN RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201402",
"telephone_number": "609-448-7200",
"fax_number": "609-448-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPOVICI",
"first_name": "MIHAI",
"middle_name": "Z.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "34309",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "34309",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "34309",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA SPECIALIST",
"identifier": "0666967013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0107057000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0830305",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1543982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "516050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE CROSS BLUE SHIELD",
"identifier": "222320221",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PRIMARY",
"identifier": "0666967014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4058986",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERCARE",
"identifier": "11100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DR8706",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.