Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard A Lupo Jr.

Individual provider Physician Assistant · NPI 1184268690

Richard A Lupo Jr. is a Physician Assistant in Oceanside, New York. Qualified in 2019, 7 years ago. Practices with South Nassau Physician Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Healthy Way
Oceanside, NY 11572-1551
Phone: (877) 768-8462
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024356 (NY)

Record details

NPI number1184268690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESOctober 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Nassau Physician Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oceanside