Individual provider Active NPI

Sheldon B Lippman, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1598731812
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
170959 Issued in NY
Practice address
2220 Ocean Ave
Brooklyn, NY 11229-2203
Phone
(718) 339-1238
Fax
(718) 627-5932
NPI assigned
Feb 27, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 170959 NY Primary

Addresses

Primary practice location

2220 Ocean Ave
Brooklyn, NY 11229-2203

Mailing address

2220 Ocean Ave
Brooklyn, NY 11229-2203
Phone (718) 339-1238

Other identifiers 1

IdentifierTypeStateIssuer
01405921MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817001169 NY Practitioner - Pediatric Medicine 4688604739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
170959NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 2, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Sheldon Lippman Physician PC Pediatrics Current Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 2, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sheldon.lippman.1@29151.direct.athenahealth.com
  • Direct secure messaging: sheldonlippman@mai.allscriptsdirect.net
  • Direct secure messaging: slippman66763@northwell.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1598731812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292203",
            "telephone_number": "718-339-1238",
            "fax_number": "718-627-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292203",
            "telephone_number": "718-339-1238",
            "fax_number": "718-627-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "SHELDON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "170959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.