Organization Active NPI

Northeast Urology Research

Doing business as David U Lipsitz, M.D.

  • Urology Physician
  • Concord, NC
National Provider Identifier
1760894711
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9500640 Issued in NC
Legal business name
NORTHEAST UROLOGY RESEARCH
Doing business as
David U Lipsitz, M.D.
Practice address
1084 Vinehaven Dr NE
Concord, NC 28025-2438
Phone
(704) 786-5131
Fax
(704) 784-4129
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Ms. Leslie Carole Brown
Title
Billing Administrator
Phone
(704) 896-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9500640 NC Primary

Addresses

Primary practice location

1084 Vinehaven Dr NE
Concord, NC 28025-2438

Mailing address

349 Copperfield Blvd NE Ste L
Box 369
Concord, NC 28025-2432
Phone (704) 896-9830

Other identifiers 1

IdentifierTypeStateIssuer
8952130MedicaidNC

Other names 1

  • David U Lipsitz, M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David U Lipsitz MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

349 Copperfield Blvd NE
Ste L
Concord, NC 28025

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": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1760894711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 COPPERFIELD BLVD NE STE L",
            "address_2": "BOX 369",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252432",
            "telephone_number": "704-896-9830",
            "fax_number": "704-896-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "704-786-5131",
            "fax_number": "704-784-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST UROLOGY RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "704-896-9830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9500640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David U Lipsitz, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.