Individual provider Active NPI

Erine Allison Kupetsky, D.O.

  • Dermatology Physician
  • Lawrenceville, NJ
National Provider Identifier
1952400012
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB08602000 Issued in NJ
Practice address
638 Lawrenceville Rd
Lawrenceville, NJ 08648-4208
Phone
(609) 337-7643
NPI assigned
Sep 22, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MB08602000 NJ Primary

Addresses

Primary practice location

638 Lawrenceville Rd
Lawrenceville, NJ 08648-4208

Mailing address

638 Lawrenceville Rd
Lawrenceville, NJ 08648-4208
Phone (609) 337-7643

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000070 NJ Practitioner - Dermatology 6103824040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rowan University School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

638 Lawrenceville Rd
Lawrenceville, NJ 08648-4208
Phone (609) 337-7643

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions39
Removal or shaving of skin growth61
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Dermatology, Scorp Dermatology CurrentSince Feb 19, 2023 Accepting new patients
Wellness Dermatology Associates Dermatology Current Accepting new patients
Wellness Dermatology LLC Dermatology CurrentSince Sep 14, 2018 Accepting new patients

Locations

638 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 337-7643

Organizations & group practices 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1952400012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 LAWRENCEVILLE RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484208",
            "telephone_number": "609-337-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 LAWRENCEVILLE RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484208",
            "telephone_number": "609-337-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPETSKY",
        "first_name": "ERINE",
        "middle_name": "ALLISON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB08602000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.