Active NPI
Sean C Lipinski, RN
- Pediatric Registered Nurse
- Johnsonville, NY
National Provider Identifier
1619612736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 673571
- Practice address
- 1142 Johnsonville Rd
Johnsonville, NY 12094-3423 - Phone
- (518) 321-2168
- NPI assigned
- May 3, 2022
- Last updated
- May 3, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 673571 | NY | Primary |
Addresses
Primary practice location
1142 Johnsonville Rd
Johnsonville, NY 12094-3423
Mailing address
1142 Johnsonville Rd
Johnsonville, NY 12094-3423
Phone (518) 321-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22506179 | Other | NCSBN ID |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 673571 | NY | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1619612736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 JOHNSONVILLE RD",
"city": "JOHNSONVILLE",
"state": "NY",
"postal_code": "120943423",
"telephone_number": "518-321-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 JOHNSONVILLE RD",
"city": "JOHNSONVILLE",
"state": "NY",
"postal_code": "120943423",
"telephone_number": "518-321-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPINSKI",
"first_name": "SEAN",
"middle_name": "C",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "673571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSBN ID",
"identifier": "22506179",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnsonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.