Active NPI
Martin Lipschutz, M.D.
- Psychiatry Physician
- Mineola, NY
National Provider Identifier
1164526893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 157955
- Practice address
- 222 Station Plaza North
Mineola, NY 11501 - Phone
- (516) 663-2691
- Fax
- (516) 663-8971
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 157955 | NY | Primary |
Addresses
Primary practice location
222 Station Plaza North
Mineola, NY 11501
Mailing address
PO Box 7336
Garden City, NY 11530-0725
Phone (516) 873-6223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070226000692 | NY | Practitioner - Psychiatry | 1355443086 | Practice locations: Garden City, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1164526893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7336",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115300725",
"telephone_number": "516-873-6223",
"fax_number": "516-663-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLAZA NORTH",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-663-2691",
"fax_number": "516-663-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCHUTZ",
"first_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "157955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.