Organization Active NPI

Borenstein, Lipsitt, Johnson, Maxwell

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1861528598
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M3824 Issued in TX
Legal business name
BORENSTEIN, LIPSITT, JOHNSON, MAXWELL
Doing business as
Pediatrics & Adolescents
Practice address
3111 San Pedro Ave
San Antonio, TX 78212-2246
Phone
(210) 732-6229
Fax
(210) 732-5350
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Rebecca Rizo, D.O.NPI 1740342724
Title
Physician
Phone
(210) 732-7141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X M3824 TX Primary

Addresses

Primary practice location

3111 San Pedro Ave
San Antonio, TX 78212-2246

Mailing address

3111 San Pedro Ave
San Antonio, TX 78212-2246
Phone (210) 732-6229

Other identifiers 2

IdentifierTypeStateIssuer
M3824OtherTXMEDICAL LICENSE
FR0038465OtherTXCONTROLLED SUBSTANCE CERT

Other names 1

  • Pediatrics & Adolescents Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1861528598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122246",
            "telephone_number": "210-732-6229",
            "fax_number": "210-732-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122246",
            "telephone_number": "210-732-6229",
            "fax_number": "210-732-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORENSTEIN, LIPSITT, JOHNSON, MAXWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "RIZO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-732-7141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M3824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M3824",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE CERT",
            "identifier": "FR0038465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics & Adolescents",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.