Active NPI
Raymond Lippert, MD
- Internal Medicine Physician
- Kingston, NY
National Provider Identifier
1376596445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1203821
- Practice address
- 89 John St
Kingston, NY 12401 - Phone
- (845) 338-7125
- Fax
- (845) 331-9388
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1203821 | NY | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 1203821 | NY |
Addresses
Primary practice location
89 John St
Kingston, NY 12401
Mailing address
89 John St
Kingston, NY 12401
Phone (845) 338-7125
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141610785 | Other | KINGSTON TRUST FUND | |
| 287258 | Other | MVP ENDOCRINOLOGY | |
| 137182 | Other | UNITED HEALTH CARE | |
| 110227140 | Other | RAILROAD MEDICARE | |
| 141610785 | Other | CATSKILL AREA SCHOOLS | |
| 10001199 | Other | COPHP | |
| 00505739 | Medicaid | NY | |
| 117258 | Other | MVP INTERNAL MED | |
| 30105100 | Other | EMPIRE BCBS | |
| 141610785 | Other | NY | AARP |
| 6011874 | Other | GHI | |
| 000000033697 | Other | GHI HMO | |
| 000401428004 | Other | BS OF NE NY | |
| 141610785 | Other | NYS EMPLOYEE BENEFITS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1203821 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1376596445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 JOHN ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-338-7125",
"fax_number": "845-331-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 JOHN ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-338-7125",
"fax_number": "845-331-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPERT",
"first_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1203821",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "1203821",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KINGSTON TRUST FUND",
"identifier": "141610785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP ENDOCRINOLOGY",
"identifier": "287258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "137182",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110227140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATSKILL AREA SCHOOLS",
"identifier": "141610785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COPHP",
"identifier": "10001199",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00505739",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP INTERNAL MED",
"identifier": "117258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "30105100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "141610785",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6011874",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000033697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF NE NY",
"identifier": "000401428004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS EMPLOYEE BENEFITS",
"identifier": "141610785",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.