Active NPI
Anne Lucy Lifflander, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1649504440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 149963
- Practice address
- 125 Worth St. Room 207 CN-73
Bstdc-Nyc Dept of Health and Mental Hygiene
New York, NY 10013-4090 - Phone
- (212) 788-6614
- Fax
- (212) 788-4431
- NPI assigned
- Sep 25, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 149963 | NY | Primary |
Addresses
Primary practice location
125 Worth St. Room 207 CN-73
Bstdc-Nyc Dept of Health and Mental Hygiene
New York, NY 10013-4090
Mailing address
125 Worth St. Room 207 CN-73
Bstdc-Nyc Dept of Health and Mental Hygiene
New York, NY 10013-4090
Phone (212) 788-6614
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149963 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Harlem Council for Human Services Inc | Current | Accepting new patients | |
| East Harlem Council for Human Services Inc | Current | Accepting new patients |
Locations
2265 3rd Ave
New York, NY 10035
Phone (212) 289-6650
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- New York, NY
- NPI 1467486449
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1124530084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1649504440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WORTH ST. ROOM 207 CN-73",
"address_2": "BSTDC-NYC DEPT OF HEALTH AND MENTAL HYGIENE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134090",
"telephone_number": "212-788-6614",
"fax_number": "212-788-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WORTH ST. ROOM 207 CN-73",
"address_2": "BSTDC-NYC DEPT OF HEALTH AND MENTAL HYGIENE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134090",
"telephone_number": "212-788-6614",
"fax_number": "212-788-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFFLANDER",
"first_name": "ANNE",
"middle_name": "LUCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "149963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.