Wintergreen Imaging and Diagnostics, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WINTERGREEN IMAGING AND DIAGNOSTICS, PC

Practice address

1112 Riverview LN
West Conshohocken, PA 19428-2964

Phone

(610) 581-0348

Fax

(610) 581-0349

NPI assigned

Jul 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric M Lipnack, DO

Title

Owner

Phone

(610) 581-0348

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1003129198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 RIVERVIEW LN",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282964",
            "telephone_number": "610-581-0348",
            "fax_number": "610-581-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 RIVERVIEW LN",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282964",
            "telephone_number": "610-581-0348",
            "fax_number": "610-581-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERGREEN IMAGING AND DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "LIPNACK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-581-0348",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh Ramaswamy, M.D.
• Skyline Psychotherapy & Assessment Services, PLLC
• Smile Pennsylvania PLLC
• Kathleen Ulrich, CRNP
• Jennifer W Weeks, PH.D., LPC, CACD

• All providers in West Conshohocken, PA
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.