Individual provider Active NPI

Lauren Elizabeth Lipeski, M.D.

  • Pediatric Endocrinology Physician
  • Syracuse, NY
National Provider Identifier
1477591378
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
210071 Issued in NY
Practice address
3229 E Genesee St
Suite 1
Syracuse, NY 13214-2016
Phone
(315) 464-5726
Fax
(315) 464-2510
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 25MA07120100 NJ
Pediatric Endocrinology Physician 2080P0205X 210071 NY Primary

Addresses

Primary practice location

3229 E Genesee St
Suite 1
Syracuse, NY 13214-2016

Mailing address

3229 E Genesee St
Suite 1
Syracuse, NY 13214-2016
Phone (315) 464-5726

Other identifiers 2

IdentifierTypeStateIssuer
02049058MedicaidNY
8456500MedicaidNJ

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
I20081121000600 NY Practitioner - Pediatric Medicine 4284650086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07120100NJMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Service Group CurrentSince Nov 1, 2008 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Past Accepting new patients

Locations

3229 E Genesee St
Ste 1
Syracuse, NY 13214
Phone (315) 464-5726

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1477591378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 E GENESEE ST",
            "address_2": "SUITE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142016",
            "telephone_number": "315-464-5726",
            "fax_number": "315-464-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 E GENESEE ST",
            "address_2": "SUITE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142016",
            "telephone_number": "315-464-5726",
            "fax_number": "315-464-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPESKI",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA07120100",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "210071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02049058",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8456500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.