John G Lipchak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00505900 Issued in NJ

Practice address

443 Rte 34 Ste F
Marketplace Mall
Matawan, NJ 07747-9506

Phone

(732) 583-3600

Fax

(732) 583-3770

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1003969478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 RTE 34 STE F",
            "address_2": "MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 RTE 34 STE F",
            "address_2": "MARKETPLACE MALL",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479506",
            "telephone_number": "732-583-3600",
            "fax_number": "732-583-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPCHAK",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00505900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.