Active NPI
Lynn M Keppel, PA
- Physician Assistant
- New York City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009505
- Practice address
- 205 E 64 St
Suite 402
New York City, NY 10021 - Phone
- (212) 759-4553
- Fax
- (212) 486-8334
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009505 | NY | Primary |
Addresses
Primary practice location
205 E 64 St
Suite 402
New York City, NY 10021
Mailing address
205 E 64 St
Suite 402
New York City, NY 10021
Phone (212) 759-4553
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009505 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Spine and Sports Medicine LLC | Current | Accepting new patients | |
| Orthopaedics Spine and Sports Medicine, LLC | Current | Accepting new patients | |
| Orthopaedics Spine and Sports Medicine LLC | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Past | Accepting new patients |
Locations
2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677
1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049
2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500
2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
12 Unqua Rd
Massapequa, NY 11758
5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657
115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797
Interoperability endpoints
- lynnkeppel@ossm.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Syosset, NY
- NPI 1548490063
-
- Physical Therapist
- New York, NY
- NPI 1811060619
-
- Durable Medical Equipment & Medical Supplies
- Syosset, NY
- NPI 1073096590
-
- Orthopaedic Surgery of the Spine Physician
- Bayonne, NJ
- NPI 1154030328
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1770554206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 64 ST",
"address_2": "SUITE 402",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-759-4553",
"fax_number": "212-486-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 64 ST",
"address_2": "SUITE 402",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-759-4553",
"fax_number": "212-486-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPEL",
"first_name": "LYNN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.