M. Lupovici, M.D., P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

34309 Issued in NJ

Legal business name

M. LUPOVICI, M.D., P.A.

Practice address

254 Princeton Hightstown Rd
East Windsor, NJ 08520-1402

Phone

(609) 448-7200

Fax

(609) 448-4607

NPI assigned

Jun 13, 2008

Organization subpart

Yes

Parent organization

M. LUPOVICI, M.D., P.A.As reported in NPPES

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

Authorized official

Name

Mrs. Melissa Lyon

Title

Office Manager

Phone

(609) 448-7200

Specialties & licenses 3

Addresses

Other identifiers 9

Part of

M Lupovici MD PA

Locations

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1952561854",
    "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": {
        "organization_name": "M. LUPOVICI, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M. LUPOVICI, M.D., P.A.",
        "enumeration_date": "2008-06-13",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-448-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "34309",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MAO34309",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03738200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/SPECIALIST",
            "identifier": "0666967013",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/HMO",
            "identifier": "516050",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "4058986",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PCP/PRIMARY CARE",
            "identifier": "0666967014",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1543982",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0107057000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/PPO",
            "identifier": "4058986",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "DR8706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in East Windsor, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.