LYDIA TRIPOLSKY M.D.
NPI 1417254160
Pediatrics in Staten Island, NY
About Lydia Tripolsky M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA TRIPOLSKY M.D. (NPI 1417254160) is an individual pediatrics provider in Staten Island, New York, licensed in New York (258768) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Tripolsky M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Lydia Tripolsky reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Staten Island, NY 10312
- Reassigned Medicare billing, New York enrollment
- 530 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Lydia Tripolsky's NPI number?
The NPI number for Lydia Tripolsky is 1417254160. It was assigned to this individual provider in the NPPES registry on February 15, 2011.
Where is Lydia Tripolsky located?
Lydia Tripolsky practices at 242 Mason Ave Suite 1, Staten Island, NY 10305. The listed phone number is (718) 226-6221.
What is Lydia Tripolsky's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lydia Tripolsky enrolled in Medicare?
Yes. Lydia Tripolsky is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lydia Tripolsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Tripolsky reassigns Medicare benefits to 4 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY), Physicians Of University Hospital PC (Staten Island, NY), Physician Affiliate Group Of New York PC (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Tripolsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lydia Tripolsky was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lydia Tripolsky, M.D. · NPI 1417254160
Pediatrics physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since February 15, 2011.
## Identity
- **NPI:** 1417254160 (Entity type: Individual)
- **Enumerated:** February 15, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 258768 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 242 MASON AVE, SUITE 1, Staten Island, NY 10305-3408
- **Phone:** (718) 226-6221 · **Fax:** (718) 226-6003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY); Physicians Of University Hospital PC (NPI 1013368224, Staten Island, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1417254160) · Data from the CMS NPPES public registry.