Individual provider Active NPI

Gregorio Lipat, M.D.

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1790783850
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA02867500 Issued in NJ
Practice address
107 Pacific Ave
Jersey City, NJ 07304-3217
Phone
(201) 200-9984
Fax
(201) 451-2863
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA02867500 NJ Primary

Addresses

Primary practice location

107 Pacific Ave
Jersey City, NJ 07304-3217

Mailing address

1 Hamilton Dr E
North Caldwell, NJ 07006-4602
Phone (201) 200-9984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790783850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMILTON DR E",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064602",
            "telephone_number": "201-200-9984",
            "fax_number": "201-451-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PACIFIC AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043217",
            "telephone_number": "201-200-9984",
            "fax_number": "201-451-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPAT",
        "first_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA02867500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.