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DR. ANNELISE MARIE LUPICA M.D.
NPI 1790134880
Pediatrics in New York, NY

Active since June 09, 2016PECOS Enrolled
3985 BROADWAY, NEW YORK, NY 10032(917) 305-6059 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Sep 11, 2020, Aug 7, 2019 (3 updates tracked since 2019).

About Dr. Annelise Marie Lupica M.d. NPPES

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

DR. ANNELISE MARIE LUPICA M.D. (NPI 1790134880) is an individual pediatrics provider in New York, New York, licensed in New York (300156) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790134880
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ANNELISE MARIE LUPICACredential: M.D.
Location Address3985 BROADWAYNew York, NY 10032
Mailing Address229 W 116th St Apt 5aNew York, NY 10026-2799 · (818) 720-9655
Phone(917) 305-6059
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateMarch 23, 20243 updates tracked since enumeration
NPPES CertifiedMarch 23, 2024
✔ NPI 1790134880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 300156✔ Licensed in CA · A168984
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.
3985 BROADWAY, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Annelise Marie Lupica 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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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

STEPHANIE LUZ AROCHO NP
Nurse Practitioner (Adult Health)
3985 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-6204

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 Annelise Lupica's NPI number?

The NPI number for Annelise Lupica is 1790134880. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Annelise Lupica located?

Annelise Lupica practices at 3985 Broadway, New York, NY 10032. The listed phone number is (917) 305-6059.

What is Annelise Lupica's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Annelise Lupica enrolled in Medicare?

Yes. Annelise Lupica is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annelise Lupica was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.