Individual provider Active NPI

Margot Lippe, BS, MA

  • Specialist
  • Plainview, NY
National Provider Identifier
1821721382
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
674001 Issued in NY
Practice address
255 Executive Dr Ste LL
Plainview, NY 11803-1719
Phone
(516) 576-2040
Fax
(516) 744-2757
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 674001 NY Primary

Addresses

Primary practice location

255 Executive Dr Ste LL
Plainview, NY 11803-1719

Mailing address

11 Cat Hollow Rd
Bayville, NY 11709-3017
Phone (516) 993-1798

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)
Not enrolled
Credentials
Bachelor of Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
674001NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1821721382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAT HOLLOW RD",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117093017",
            "telephone_number": "516-993-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR STE LL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031719",
            "telephone_number": "516-576-2040",
            "fax_number": "516-744-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPE",
        "first_name": "MARGOT",
        "name_prefix": "Mrs.",
        "credential": "BS, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "674001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.