SAMUEL LUPIN MD
NPI 1366646572
Specialist in Brooklyn, NY

Q: What is Samuel Lupin's NPI number?

The NPI number for Samuel Lupin is 1366646572. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Samuel Lupin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Lupin was last updated on May 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2007PECOS Enrolled

3131 KINGS HWY, SUITE B1, BROOKLYN, NY 11234(845) 356-9433(845) 371-5897 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samuel Lupin Md NPPES

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

SAMUEL LUPIN MD (NPI 1366646572) is an individual specialist in Brooklyn, New York, licensed in New York (138014) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366646572

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameSAMUEL LUPINCredential: MD

Location Address3131 KINGS HWY, SUITE B1Brooklyn, NY 11234-2644

Mailing Address6 Lynhaven CtMonsey, NY 10952-2411 · (845) 356-9433 · Fax (845) 371-5897

Phone(845) 356-9433

Fax(845) 371-5897

Sole ProprietorYes

Enumeration DateJune 12, 2007

Last NPPES UpdateMay 25, 2010

✔ NPI 1366646572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 138014

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3131 KINGS HWY, Brooklyn, NY 11234

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Other Identifiers 7

OtherNZ8794NY · Healthnet

Medicaid00799555NY

Other0035751NY · Ghi

OtherP770149NY · Oxford

Other31A671NY · Blue Cross Blue Shield

Medicare ID-Type UnspecifiedP00229761NY · Medicare Railroad

Medicare PIN31A671NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Lupin Md 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.

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