Active NPI
Lauren Elizabeth Lipeski, M.D.
- Pediatric Endocrinology Physician
- Syracuse, NY
National Provider Identifier
1477591378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 210071
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02049058 | Medicaid | NY | |
| 8456500 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07120100 | NJ | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Service Group | Current | 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.
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1770539066
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.