Individual provider Active NPI

Lynne Macco, M.D.

  • Obstetrics & Gynecology Physician
  • Elizabethtown, NY
National Provider Identifier
1467484543
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
212954 Issued in NY
Practice address
75 Park Street
GYN Clinic
Elizabethtown, NY 12932-0277
Phone
(518) 873-6377
Fax
(518) 873-2005
NPI assigned
Jul 7, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 212954 NY Primary

Addresses

Primary practice location

75 Park Street
GYN Clinic
Elizabethtown, NY 12932-0277

Mailing address

PO Box 277
Elizabethtown, NY 12932-0277
Phone (518) 873-6377

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
I20160223000613 NY Practitioner - Obstetrics/Gynecology 5496739997 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Dec 5, 2015 Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Dec 5, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: lmacco465455@direct.uvmhealth.org

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1467484543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320277",
            "telephone_number": "518-873-6377",
            "fax_number": "518-873-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PARK STREET",
            "address_2": "GYN CLINIC",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320277",
            "telephone_number": "518-873-6377",
            "fax_number": "518-873-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCO",
        "first_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "212954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

Verify at the official NPI Registry.