Premier Physicians of New York PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PREMIER PHYSICIANS OF NEW YORK PLLC

Doing business as

Tribecca Radiation Oncology

Practice address

408 Broadway
New York, NY 10013-3699

Phone

(212) 925-8882

Fax

(904) 345-5841

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Roberto Lipsztein, MD

Title

Director

Phone

(212) 925-8882

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tribecca Radiation Oncology Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Paul Tracy NG, M.D.

  • Radiation Oncology Physician
  • New York, NY
  • NPI 1336140433
  NPD (past)
• Frederick Alan Rapoport, MD

  • Specialist
  • New York, NY
  • NPI 1134125255
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1295082527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E COAST HWY",
            "address_2": "SUITE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252236",
            "telephone_number": "949-207-3111",
            "fax_number": "949-612-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133699",
            "telephone_number": "212-925-8882",
            "fax_number": "904-345-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICIANS OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "LIPSZTEIN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-925-8882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tribecca Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Physical Therapy and Wellness, PC
• Premier Physical Therapy and Wellness, PC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC

• Radiation Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.