Organization Active NPI

Delaware Valley Physical Medicine Associates

  • Physical Medicine & Rehabilitation Physician
  • Fort Lauderdale, FL
National Provider Identifier
1861557050
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DELAWARE VALLEY PHYSICAL MEDICINE ASSOCIATES
Practice address
3300 NE 57TH CT
Fort Lauderdale, FL 33308-2820
Phone
(215) 796-0081
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Eric Lipnack, DO
Title
Owner
Phone
(215) 796-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X FL Primary

Addresses

Primary practice location

3300 NE 57TH CT
Fort Lauderdale, FL 33308-2820

Mailing address

3300 NE 57TH CT
Fort Lauderdale, FL 33308-2820
Phone (215) 796-0081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1861557050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NE 57TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082820",
            "telephone_number": "215-796-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NE 57TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082820",
            "telephone_number": "215-796-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PHYSICAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "LIPNACK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-796-0081",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.