Individual provider Active NPI

Jay I Lippman, MD

  • Ophthalmology Physician
  • New Rochelle, NY
National Provider Identifier
1376543017
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
94565 Issued in NY
Practice address
828 Pelhamdale Ave
New Rochelle, NY 10801-1005
Phone
(914) 636-3600
Fax
(914) 636-2118
NPI assigned
Jul 22, 2005
Reactivated
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 94565 NY Primary

Addresses

Primary practice location

828 Pelhamdale Ave
New Rochelle, NY 10801-1005

Mailing address

828 Pelhamdale Ave
New Rochelle, NY 10801-1024
Phone (914) 636-3600

Other identifiers 5

IdentifierTypeStateIssuer
00155660MedicaidNY
094565A40OtherNYHEALTHFIRST
4239025OtherNYAETNA
JL05733810OtherBCBS
GS312OtherNYOXFORD

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
I20101123000786 NY Practitioner - Ophthalmology 9133204829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur M. Cotliar, MD PLLCGroup PAC ID 9234279266, 8 clinicians

Practice addresses (Care Compare)

828 Pelhamdale Ave
Apt 1F
New Rochelle, NY 10801-1006
Phone (212) 568-2600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94565NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur M. Cotliar, MD PLLC Ophthalmology CurrentSince Jun 1, 2025 Accepting new patients
Arthur M. Cotliar, MD, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

130 Fort Washington Ave
Apt 1M
New York, NY 10032
Phone (212) 568-2600

Interoperability endpoints

  • Direct secure messaging: jlippman@cotliar.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1376543017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011024",
            "telephone_number": "914-636-3600",
            "fax_number": "914-636-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011005",
            "telephone_number": "914-636-3600",
            "fax_number": "914-636-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "JAY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-08-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "94565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00155660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "094565A40",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4239025",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JL05733810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.