Individual provider Active NPI

John David Lipani, MD, PHD

  • Neurological Surgery Physician
  • Hamilton, NJ
National Provider Identifier
1275612111
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA08134300 Issued in NJ
Practice address
3836 Quakerbridge Rd
Suite 203
Hamilton, NJ 08619-1006
Phone
(609) 890-3400
Fax
(609) 890-3410
NPI assigned
Nov 2, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA08134300 NJ Primary

Addresses

Primary practice location

3836 Quakerbridge Rd
Suite 203
Hamilton, NJ 08619-1006

Mailing address

3836 Quakerbridge Rd
Suite 203
Hamilton, NJ 08619-1006
Phone (609) 890-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2012 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MA08134300NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Neurological Surgery Neurological Surgery Past Accepting new patients
Trenton Neurological Surgeons Associates PA Neurological Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1275612111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 QUAKERBRIDGE RD",
            "address_2": "SUITE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191006",
            "telephone_number": "609-890-3400",
            "fax_number": "609-890-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 QUAKERBRIDGE RD",
            "address_2": "SUITE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191006",
            "telephone_number": "609-890-3400",
            "fax_number": "609-890-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPANI",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA08134300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.