Active NPI
Greg Michael Lipshutz, M.D.
- Neurology Physician
- Cambridge, MA
National Provider Identifier
1548217219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 70285
- Practice address
- 300 Mount Auburn Street
Suite 409
Cambridge, MA 02138 - Phone
- (617) 499-2970
- Fax
- (617) 499-2974
- NPI assigned
- May 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 70285 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn Street
Suite 409
Cambridge, MA 02138
Mailing address
300 Mount Auburn Street
Suite 409
Cambridge, MA 02138
Phone (617) 499-2970
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130022801 | Other | RR MEDICARE | |
| J09492 | Other | BCBS MA | |
| 3068242 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1548217219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN STREET",
"address_2": "SUITE 409",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-499-2970",
"fax_number": "617-499-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN STREET",
"address_2": "SUITE 409",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-499-2970",
"fax_number": "617-499-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSHUTZ",
"first_name": "GREG",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "70285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "130022801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J09492",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3068242",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.