Active NPI
Lyudmila M. Slupsky, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1962531038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 213118
- Practice address
- 2626 E 14TH St
Suite 207
Brooklyn, NY 11235-3966 - Phone
- (718) 615-9000
- Fax
- (718) 934-5954
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 213118 | NY | Primary |
Addresses
Primary practice location
2626 E 14TH St
Suite 207
Brooklyn, NY 11235-3966
Mailing address
2626 E 14TH St
Suite 207
Brooklyn, NY 11235-3966
Phone (718) 615-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01925653 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213118 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962531038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 E 14TH ST",
"address_2": "SUITE 207",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353966",
"telephone_number": "718-615-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 E 14TH ST",
"address_2": "SUITE 207",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353966",
"telephone_number": "718-615-9000",
"fax_number": "718-934-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUPSKY",
"first_name": "LYUDMILA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "213118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01925653",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.