NPIMap

Organization Active NPI

Morris J Lipnik MD PA

  • Dermatology Physician
  • Bonita Springs, FL
National Provider Identifier
1235343302
Registry record updated Sep 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 033321 Issued in FL
Legal business name
MORRIS J LIPNIK MD PA
Practice address
27730 Riverwalk Way
Bonita Springs, FL 34134-8691
Phone
(239) 498-2207
Fax
(239) 498-5006
NPI assigned
May 9, 2007
Last updated
Sep 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Authorized official

Name
Dr. Morris J Lipnik, MD
Title
President
Phone
(239) 498-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME 033321 FL Primary

Addresses

Primary practice location

27730 Riverwalk Way
Bonita Springs, FL 34134-8691

Mailing address

PO Box 1783
Mount Dora, FL 32756-1783
Phone (877) 277-7077

National Provider Directory

National Provider Directory

Locations

26800 S Tamiami Trl
Ste 250
Bonita Springs, FL 34134
Phone (239) 594-9075

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1235343302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1783",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327561783",
            "telephone_number": "877-277-7077",
            "fax_number": "734-789-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27730 RIVERWALK WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341348691",
            "telephone_number": "239-498-2207",
            "fax_number": "239-498-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS J LIPNIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "LIPNIK",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-498-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 033321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.