Individual provider Active NPI

Marie A Lippman, MD

  • Child & Adolescent Psychiatry Physician
  • Bedford, NY
National Provider Identifier
1295846061
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
180173 Issued in NY
Practice address
55 Cliffield Rd
Bedford, NY 10506-1210
Phone
(516) 359-9599
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 180173 NY Primary

Addresses

Primary practice location

55 Cliffield Rd
Bedford, NY 10506-1210

Mailing address

55 Cliffield Road
Bedford, NY 10506
Phone (516) 359-9599

Other identifiers 1

IdentifierTypeStateIssuer
01466935MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001122 NY Practitioner - Psychiatry 7618913641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizon Counseling Center IncGroup PAC ID 4880681295, 87 clinicians
Seth Benkel MD PLLCGroup PAC ID 8325331317, 14 clinicians

Practice addresses (Care Compare)

242 Beach 20TH St
Far Rockaway, NY 11691-3618
Phone (718) 471-0982

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (718) 881-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180173NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Jan 1, 2005 Accepting new patients
Seth Benkel, MD, PLLC CurrentSince Oct 8, 2023 Accepting new patients
St John's Medical Services PC Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

242 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 471-0982

712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-0466

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295846061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLIFFIELD ROAD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "10506",
            "telephone_number": "516-359-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CLIFFIELD RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061210",
            "telephone_number": "516-359-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "180173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01466935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NY

Sources for this page

Verify at the official NPI Registry.