LYDIA TRIPOLSKY M.D.
NPI 1417254160
Pediatrics in Staten Island, NY

Active since February 15, 2011PECOS Enrolled
242 MASON AVE, SUITE 1, STATEN ISLAND, NY 10305(718) 226-6221(718) 226-6003 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1417254160
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLYDIA TRIPOLSKYCredential: M.D.
Location Address242 MASON AVE, SUITE 1Staten Island, NY 10305-3408
Mailing Address242 Mason Ave, Suite 1Staten Island, NY 10305-3408 · (718) 226-6221 · Fax (718) 226-6003
Fax(718) 226-6003
Sole ProprietorNo
Enumeration DateFebruary 15, 2011
Last NPPES UpdateJanuary 12, 2012
NPI 1417254160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 258768
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
242 MASON AVE, Staten Island, NY 10305

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lydia Tripolsky M.d. 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.

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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Audiologist-Hearing Aid Fitter
242 MASON AVE
STATEN ISLAND, NY 10305
Pediatrics (Adolescent Medicine)
242 MASON AVE
STATEN ISLAND, NY 10305
Internal Medicine (Geriatric Medicine)
242 MASON AVE
STATEN ISLAND, NY 10305
Student in an Organized Health Care Education/Training Program
242 MASON AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
242 MASON AVE
STATEN ISLAND, NY 10305
Audiologist-Hearing Aid Fitter
242 MASON AVE, AUDIOLOGY FIRST FLOOR
STATEN ISLAND, NY 10305
Audiologist-Hearing Aid Fitter
242 MASON AVE
STATEN ISLAND, NY 10305
Occupational Therapist (Hand)
242 MASON AVE
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.

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.