Liji Vipin

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP015145 Issued in PA

Practice address

1615 Oregon Ave
Philadelphia, PA 19145

Phone

(215) 334-2200

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Dr. House Call

  • Family Medicine Physician
  • Phila, PA
  • NPI 1275588543
  NPD (past)
• Lyceum Chiropractic, P.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1447416250
  NPD (past)
• Optimum Personal Care Physicians LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Marlton, NJ
  • NPI 1134610967
  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1760856538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BEECHWOOD BLVD",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534471",
            "telephone_number": "215-908-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OREGON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-334-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPIN",
        "first_name": "LIJI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP015145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Ambulance
• Vip Dental Care, LLC
• Vip Healthcare Group
• Vip Medical Supply LLC
• Vip Transport of Philadelphia
• Diana Rebecca Virella-Saenz, M.D.
• Shella Ange Virgile
• Shailee Viroja, D.O
• Joseph Arthur Virone
• Michelle Virone, RD

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.

Verify at the official NPI Registry.