| Mr Simon Gabriel Kupchik, MD | |
|
948 48th Street, Brooklyn, NY 11219 | |
| (718) 283-8260 | |
| (718) 283-6147 |
| Full Name | Mr Simon Gabriel Kupchik |
|---|---|
| Gender | Male |
| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
| Location | 948 48th Street, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770578098 | NPI | - | NPPES |
| 01283861 | Medicaid | NY | |
| 176882-B15 | Other | NY | HEALTH FIRST |
| 2423247 | Other | NY | AETNA USHC HMO |
| 68N0081 | Other | NY | NEIGHBORHOOD HEALTH |
| 113491197 | Other | NY | MULTIPLAN |
| 1491411 | Other | NY | UNITED HEALTH CARE |
| 4609674 | Other | NY | AETNA PPO |
| 113491197 | Other | NY | HORIZON HEALTHCARE NY |
| BK00818-02 | Other | NY | AMERICHOICE |
| P2103443 | Other | NY | OXFORD HEALTH PLANS |
| 113491197 | Other | NY | PHCS |
| 176882 | Other | NY | HIP |
| 1B0001 | Other | NY | EMPIRE BCBS |
| 2601597 | Other | NY | GHI |
| 4C0555 | Other | NY | HEALTH NET |
| KG6882 | Other | NY | ATLANTIS HEALTH PLAN |
| 258990201 | Other | NY | HEALTH PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 176882 (New York) | Primary |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Mmc Pediatrics Faculty Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496 |
| Entity Name | Interfaith Professional Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Simon Gabriel Kupchik, MD 977 48th Street, Brooklyn, NY 11219 Ph: (718) 283-7229 | Mr Simon Gabriel Kupchik, MD 948 48th Street, Brooklyn, NY 11219 Ph: (718) 283-8260 |