Organization Active NPI

Mamie Lipari, M.D. P.C.

  • Medical Specialty Clinic/Center
  • Bayside, NY
National Provider Identifier
1780821132
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
190651 Issued in NY
Legal business name
MAMIE LIPARI, M.D. P.C.
Practice address
20228 45TH Ave
Bayside, NY 11361-2540
Phone
(718) 701-5941
Fax
(718) 423-7696
NPI assigned
Jan 7, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Mamie Lipari, M.D.NPI 1528014214
Title
President
Phone
(718) 701-5941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 190651 NY Primary

Addresses

Primary practice location

20228 45TH Ave
Bayside, NY 11361-2540

Mailing address

21445 29TH Ave
Bayside, NY 11360-2648
Phone (718) 701-5941

Other identifiers 1

IdentifierTypeStateIssuer
G1000000115OtherNYPTAN

National Provider Directory

National Provider Directory

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1780821132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21445 29TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602648",
            "telephone_number": "718-701-5941",
            "fax_number": "718-423-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20228 45TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612540",
            "telephone_number": "718-701-5941",
            "fax_number": "718-423-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMIE LIPARI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "LIPARI",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-701-5941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "190651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G1000000115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.