NPIMap

Organization Active NPI

Dr. I. L. Lifrak M.D. P.a.

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1477909893
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. I. L. LIFRAK M.D. P.A.
Practice address
1701 Augustine Cut Off Ste 1
Wilmington, DE 19803-4461
Phone
(302) 654-7317
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Dr. Irwin Lance LifrakNPI 1538175047
Title
Owner
Phone
(302) 654-7317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1701 Augustine Cut Off Ste 1
Wilmington, DE 19803-4461

Mailing address

1701 Augustine Cut Off Ste 1
Wilmington, DE 19803-4461

National Provider Directory

National Provider Directory
Tax ID family
Rehab by Dr Lifrak4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Augustine Cut Off
Ste 1
Wilmington, DE 19803
Phone (302) 652-3016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1477909893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034461",
            "telephone_number": "302-654-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. I. L. LIFRAK M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "LIFRAK",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-654-7317",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.