Individual provider Active NPI

Carol Lipsitch, M.D.

  • Internal Medicine Physician
  • Verona, NJ
National Provider Identifier
1891887592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA46079 Issued in NJ
Practice address
50 Pompton Ave
Verona, NJ 07044-2917
Phone
(973) 857-3400
Fax
(973) 857-7034
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA46079 NJ Primary

Addresses

Primary practice location

50 Pompton Ave
Verona, NJ 07044-2917

Mailing address

50 Pompton Ave
Verona, NJ 07044-2917
Phone (973) 857-3400

Other identifiers 2

IdentifierTypeStateIssuer
0K1345OtherNJHEALTHNET
P808343OtherNJOXFPRD

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
I20040422000244 NJ Practitioner - Internal Medicine 4688660947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical Group, IncGroup PAC ID 2062407893, 4 clinicians

Practice addresses (Care Compare)

50 Pompton Ave
Verona, NJ 07044-2917
Phone 9738573400200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46079NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Group, Inc Internal Medicine CurrentSince Jun 23, 2010 Accepting new patients
First Care Medical Group, Inc Internal Medicine CurrentSince Jun 23, 2010 Accepting new patients

Locations

50 Pompton Ave
Verona, NJ 07044
Phone (973) 857-3400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400",
            "fax_number": "973-857-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-857-3400",
            "fax_number": "973-857-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSITCH",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA46079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K1345",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFPRD",
            "identifier": "P808343",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.