Active NPI
Jennifer Lipman
- Cytopathology Physician
- Melrose, MA
National Provider Identifier
1578539532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- 150821
- Practice address
- 585 Lebanon St
Melrose, MA 02176-3225 - Phone
- (781) 255-0555
- Fax
- (781) 255-0594
- NPI assigned
- Feb 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 150821 | MA | Primary |
Addresses
Primary practice location
585 Lebanon St
Melrose, MA 02176-3225
Mailing address
200 Corporate PL
Peabody, MA 01960-3840
Phone (978) 535-1344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077931 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150821 | MA | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1578539532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-535-1344",
"fax_number": "781-255-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763225",
"telephone_number": "781-255-0555",
"fax_number": "781-255-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPMAN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MA",
"license": "150821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2077931",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.