Provider Demographics
NPI:1922089671
Name:LUPOVICI, MIHAI Z (MD)
Entity Type:Individual
Prefix:DR
First Name:MIHAI
Middle Name:Z
Last Name:LUPOVICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1402
Mailing Address - Country:US
Mailing Address - Phone:609-448-7200
Mailing Address - Fax:609-448-4607
Practice Address - Street 1:254 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1402
Practice Address - Country:US
Practice Address - Phone:609-448-7200
Practice Address - Fax:609-448-4607
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ34309207R00000X, 207RG0100X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0666967013OtherCIGNA SPECIALIST
0107057000OtherAMERIHEALTH
NJ0830305Medicaid
1543982OtherUNITED HEALTHCARE
516050OtherAETNA HMO
NJ222320221OtherHORIZON BLUE CROSS BLUE SHIELD
0666967014OtherCIGNA PRIMARY
4058986OtherAETNA PPO
11100OtherMASTERCARE
DR8706OtherOXFORD
0666967013OtherCIGNA SPECIALIST
0666967014OtherCIGNA PRIMARY