Organization Active NPI

Madelyn B Lipman MD PA

  • Procedural Dermatology Physician
  • Tamarac, FL
National Provider Identifier
1053473330
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
MADELYN B LIPMAN MD PA
Practice address
7301 N University Dr
Suite 102
Tamarac, FL 33321-2919
Phone
(954) 726-2000
Fax
(954) 726-3109
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Madelyn Barbara Lipman, MD
Title
President
Phone
(954) 726-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

7301 N University Dr
Suite 102
Tamarac, FL 33321-2919

Mailing address

7301 N University Dr
Suite 102
Tamarac, FL 33321-2919
Phone (954) 726-2000

Other identifiers 2

IdentifierTypeStateIssuer
1285611582OtherFLGLENN ZELLMAN, NPI NUMBER
1659358521OtherFLMADELYN LIPMAN NPI NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1053473330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-726-2000",
            "fax_number": "954-726-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-726-2000",
            "fax_number": "954-726-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELYN B LIPMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-726-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLENN ZELLMAN, NPI NUMBER",
            "identifier": "1285611582",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADELYN LIPMAN NPI NUMBER",
            "identifier": "1659358521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.