Individual provider Active NPI

Andrew Charles Lipka, MD

  • Ophthalmology Physician
  • Princeton, NJ
National Provider Identifier
1821199043
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04790500 Issued in NJ
Practice address
800 Bunn Dr
Suite 301
Princeton, NJ 08540-1968
Phone
(609) 924-3700
Fax
(609) 924-4724
NPI assigned
Sep 26, 2006
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA04790500 NJ Primary

Addresses

Primary practice location

800 Bunn Dr
Suite 301
Princeton, NJ 08540-1968

Mailing address

800 Bunn Dr
Suite 301
Princeton, NJ 08540-1968
Phone (609) 924-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000084 NJ Practitioner - Ophthalmology 9436281672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04790500NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
NJ Eye and Ear LLC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Campus Eye Group, LLC CurrentSince Jan 30, 2018 Accepting new patients
Campus Eye Group, LLC Ophthalmology CurrentSince Jan 30, 2018 Accepting new patients
NJ Eye and Ear LLC PastSince Jan 1, 2018 Accepting new patients
Brunswick Eye Associates, L.L.C. Ophthalmology PastSince Dec 16, 2010 Accepting new patients

Locations

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

71 Grand Ave
Englewood, NJ 07631
Phone (201) 408-4441

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1821199043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 301",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-924-3700",
            "fax_number": "609-924-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 301",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-924-3700",
            "fax_number": "609-924-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKA",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04790500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.