Individual provider Active NPI

Jay M. Lipoff, D.C.

  • Chiropractor
  • California, MD
National Provider Identifier
1376643098
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03583 Issued in MD
Practice address
23127 Three Notch Rd
Suite #205
California, MD 20619-2402
Phone
(301) 863-2378
Fax
(301) 863-2937
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03583 MD Primary
Chiropractor 111N00000X X007813 NY

Addresses

Primary practice location

23127 Three Notch Rd
Suite #205
California, MD 20619-2402

Mailing address

23127 Three Notch Rd
Suite #205
California, MD 20619-2402
Phone (301) 863-2378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001218 MD Practitioner - Chiropractic 9335332097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03583MDMDChiropractor
X007813NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1376643098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23127 THREE NOTCH RD",
            "address_2": "SUITE #205",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192402",
            "telephone_number": "301-863-2378",
            "fax_number": "301-863-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 THREE NOTCH RD",
            "address_2": "SUITE #205",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192402",
            "telephone_number": "301-863-2378",
            "fax_number": "301-863-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOFF",
        "first_name": "JAY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03583",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.