Individual provider Active NPI

Richard Lippin, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Tobyhanna, PA
National Provider Identifier
1497789994
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD013443E Issued in PA
Practice address
11 Hap Arnold Blvd
Occupational Health Clinic-Tobyhanna Army Depot
Tobyhanna, PA 18466-5002
Phone
(570) 895-6242
Fax
(570) 895-6783
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD013443E PA Primary

Addresses

Primary practice location

11 Hap Arnold Blvd
Occupational Health Clinic-Tobyhanna Army Depot
Tobyhanna, PA 18466-5002

Mailing address

11 Hap Arnold Blvd
Occupational Health Clinic-Tobyhanna Army Depot
Tobyhanna, PA 18466-5083
Phone (570) 895-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD013443EPAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1497789994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAP ARNOLD BLVD",
            "address_2": "OCCUPATIONAL HEALTH CLINIC-TOBYHANNA ARMY DEPOT",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184665083",
            "telephone_number": "570-895-6242",
            "fax_number": "570-895-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAP ARNOLD BLVD",
            "address_2": "OCCUPATIONAL HEALTH CLINIC-TOBYHANNA ARMY DEPOT",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184665002",
            "telephone_number": "570-895-6242",
            "fax_number": "570-895-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPIN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PA",
            "license": "MD013443E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.