Individual provider Active NPI

Anne Lucy Lifflander, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1649504440
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
149963 Issued in NY
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

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317000633 NY Practitioner - Internal Medicine 1254637218 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149963NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Harlem Council for Human Services Inc CurrentSince Oct 2, 2023 Accepting new patients
East Harlem Council for Human Services Inc CurrentSince Oct 2, 2023 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.

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

Verify at the official NPI Registry.