Active NPIIndividual providerSole proprietor

Dr. Jason B Lupow, MD

General Practice in Mamaroneck, New York

NPI Number1417055674
Practice location
1030 W Boston Post RD, Mamaroneck, NY 10543-3328
Fax
—
Last updated
October 11, 2013

Jason Brett Lupow is a General Practice based in Mamaroneck, NY. Jason Brett Lupow practices in Mamaroneck, NY and has the professional credentials of MD. The NPI Number for Jason Brett Lupow is 1417055674 and holds a License No. 25MA08061900 (NJ). The current practice location address for Jason Brett Lupow is 1030 W Boston Post RD, Mamaroneck, NY 10543-3328 and can be reached out via phone at 914-777-2273.

Provider Profile Details

NPI Number
1417055674
Provider Name
Jason Brett Lupow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1030 W Boston Post RD, Mamaroneck, NY 10543-3328
Phone Number
914-777-2273
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
October 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 W Boston Post RD
Mamaroneck, NY 10543-3328
Zip
10543-3328
Phone Number
914-777-2273
Mamaroneck, NY 10543Get directions →

Provider Business Mailing Address Details

Address
10 Mark Dr
Rye Brook, NY 10573-1411
City
Rye Brook
State
NY
Zip
10573-1411
Phone Number
917-704-3356

License Information

License Number (1)
25MA08061900
License State (1)
NJ
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
237641
License State (2)
NY
Taxonomy (2)
Emergency Medicine · 207P00000X
License Number (3)
237641
License State (3)
NY
Taxonomy (3)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jason B Lupow, MD?

The NPI number of Dr. Jason B Lupow, MD is 1417055674. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason B Lupow, MD?

Dr. Jason B Lupow, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MA08061900.

Where does Dr. Jason B Lupow, MD practice?

The practice location is 1030 W Boston Post RD, Mamaroneck, NY 10543-3328. The office can be reached at 914-777-2273 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417055674 directly on the NPPES registry website.

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