Active NPI
Edward M Lipman, MD
- Family Medicine Physician
- Miramar, FL
National Provider Identifier
1497826978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42579
- Practice address
- 3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308 - Phone
- (305) 866-9951
- Fax
- (305) 614-3352
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 42579 | MA | |
| Family Medicine Physician | 207Q00000X | 42579 | MA | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308
Mailing address
67 Wild Rose Drive
Andover, MA 01810-4619
Phone (978) 475-1345
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32328 | Other | MA | FALLON HEALTH PLAN |
| AA17610 | Other | MA | HARVARD PILGRIM |
| 0002836 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| B08023 | Other | MA | BLUE CROSS |
| 3081958 | Medicaid | MA | |
| 4196688 | Other | MA | AETNA HEALTH CARE |
| 042579 | Other | MA | TUFTS HEALTH PLAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42579 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1497826978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WILD ROSE DRIVE",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104619",
"telephone_number": "978-475-1345",
"fax_number": "978-430-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE #250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "305-866-9951",
"fax_number": "305-614-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPMAN",
"first_name": "EDWARD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "42579",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "42579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "32328",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA17610",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0002836",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "B08023",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3081958",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "4196688",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "042579",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.