Michael David Lupa, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA09847400 Issued in NJ

Practice address

2 Princess Rd Ste E
Lawrence Township, NJ 08648-2320

Phone

(610) 303-5163

NPI assigned

Jan 8, 2008

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Otolaryngology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, PC

  • Obstetrics & Gynecology Nurse Practitioner
  • Langhorne, PA
  • NPI 1538728357
  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, PC

  • Otolaryngology Physician
  • Hillsborough, NJ
  • NPI 1962977249
  NPD
• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• Midstate Medical Group, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Meriden, CT
  • NPI 1356361315
  NPD (past)
• Midstate Medical Group, PC

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1427089598

  Otolaryngology

  NPD (past)
• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton Medical Center

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1942485099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD STE E",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "610-303-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD STE E",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "610-303-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Township Line Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675552",
            "country_code": "US",
            "telephone_number": "267-399-4004",
            "fax_number": "267-399-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA09847400",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD457006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER PTAN",
            "identifier": "510172ZVKU",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lemuel-James Lu, PHARMD
• Jill Mackey, LPC, LCADC
• Spruha Magodia, DPM
• Mara McCollum, CD(DONA)
• Kimberly Cleaves Devine McDevitt, MPH R.D.
• Marcelle Louise McGovern, LSW, MSW

• Otolaryngology Physician in Lawrence Township, NJ
• Providers in Lawrence Township, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.