Organization Active NPI

Lindenhurst OB-GYN Group PC Robert J Lipani MD Pres

  • Obstetrics & Gynecology Physician
  • Bay Shore, NY
National Provider Identifier
1194896951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
136230 Issued in NY
Legal business name
LINDENHURST OB-GYN GROUP PC ROBERT J LIPANI MD PRES
Practice address
41 Brentwood Rd
Bayshore, NY 11706-6923
Phone
(631) 665-2446
Fax
(631) 665-0816
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert John Lipani, MD
Title
President
Phone
(631) 665-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 136230 NY Primary

Addresses

Primary practice location

41 Brentwood Rd
Bayshore, NY 11706-6923

Mailing address

41 Brentwood Rd
Bayshore, NY 11706-6923
Phone (631) 665-2446

Other identifiers 10

IdentifierTypeStateIssuer
005975711068BSOtherGHI
PM9116OtherBC
4217872OtherAETNA
70836OtherUSHC AETNA
00642764MedicaidNY
AG45807OtherMDNY
14454OtherVYTRA
49221OtherCIGNA
2154OtherMAGNAHEALTH
PM9116OtherHEALTHNET

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194896951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BRENTWOOD RD",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "117066923",
            "telephone_number": "631-665-2446",
            "fax_number": "631-665-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BRENTWOOD RD",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "117066923",
            "telephone_number": "631-665-2446",
            "fax_number": "631-665-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENHURST OB-GYN GROUP PC ROBERT J LIPANI MD PRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-665-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "136230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "005975711068BS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "PM9116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4217872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC AETNA",
            "identifier": "70836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00642764",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AG45807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "14454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "49221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNAHEALTH",
            "identifier": "2154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "PM9116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.