ALEC PUPO
NPI 1063215796
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 28, 2025PECOS Enrolled
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alec Pupo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEC PUPO (NPI 1063215796) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063215796
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameALEC PUPO
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address411 Berry LnMedia, PA 19063-1160 · (610) 585-9179
Sole ProprietorYes
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1063215796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4170 CITY AVE, Philadelphia, PA 19131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alec Pupo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alec Pupo's NPI number?

The NPI number for Alec Pupo is 1063215796. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Alec Pupo located?

Alec Pupo practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Alec Pupo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alec Pupo enrolled in Medicare?

Yes. Alec Pupo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Pupo was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.