Individual provider Active NPI

Susan Lipsy, R.N. MS. C.U.N.P.

  • Adult Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1265525778
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301037 Issued in NY
Practice address
739 Irving Avenue
Suite 600
Syracuse, NY 13210-1663
Phone
(315) 471-0190
Fax
(315) 471-0170
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301037 NY Primary

Addresses

Primary practice location

739 Irving Avenue
Suite 600
Syracuse, NY 13210-1663

Mailing address

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000291 NY Practitioner - Nurse Practitioner 1456530203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

4211 Medical Ctr Dr
Suite 211
Fayetteville, NY 13066-6637
Phone (315) 297-4700

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
301037NYMDLicensed Practical Nurse
F301037NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC CurrentSince Nov 21, 2010 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Nov 21, 2010 Accepting new patients

Locations

192 W Genesee St
Auburn, NY 13021
Phone (315) 258-5253

5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841

80 E Main St
Ste 2A
Canton, NY 13617
Phone (315) 714-2559

4000 Medical Center Dr
Ste 211
Fayetteville, NY 13066

4211 Medical Center Dr
Ste 211
Fayetteville, NY 13066
Phone (315) 329-0210

4211 Medical Center Dr
#211
Fayetteville, NY 13066
Phone (315) 297-4700

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

739 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 471-0190

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

Interoperability endpoints

  • Direct secure messaging: slipsy@ampofny.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1265525778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101155",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVENUE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101663",
            "telephone_number": "315-471-0190",
            "fax_number": "315-471-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSY",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "R.N. MS. C.U.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.