Organization Active NPI

Somers Physical Medicine Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Somers, NY
National Provider Identifier
1629346689
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
200640 Issued in NY
Legal business name
SOMERS PHYSICAL MEDICINE REHABILITATION PC
Practice address
334 Route 202 C
Somers, NY 10589-3207
Phone
(516) 295-3355
Fax
(516) 295-0017
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Eric S Lippman, M.D.NPI 1891722765
Title
Owner
Phone
(516) 295-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200640 NY Primary

Addresses

Primary practice location

334 Route 202 C
Somers, NY 10589-3207

Mailing address

1157 Broadway
Hewlett, NY 11557-2325
Phone (516) 295-3355

National Provider Directory

National Provider Directory

Locations

334 Route 202
#C
Somers, NY 10589
Phone (516) 295-3355

334 Route 202
Bldg C
Somers, NY 10589
Phone (914) 617-8500

2050 Saw Mill River Rd
Ste 3
Yorktown Heights, NY 10598
Phone (914) 617-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1629346689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572325",
            "telephone_number": "516-295-3355",
            "fax_number": "516-295-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 ROUTE 202 C",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893207",
            "telephone_number": "516-295-3355",
            "fax_number": "516-295-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS PHYSICAL MEDICINE REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "LIPPMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-295-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "200640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.