Individual provider Active NPI

Elizabeth Claire Lippitt, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1952364077
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
231483 Issued in NY
Practice address
4781 Broadway
New York, NY 10034-4915
Phone
(212) 304-6920
Fax
(212) 544-5849
NPI assigned
Apr 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 231483 NY Primary

Addresses

Primary practice location

4781 Broadway
New York, NY 10034-4915

Mailing address

4781 Broadway
New York, NY 10034-4915
Phone (718) 716-4400

Other identifiers 1

IdentifierTypeStateIssuer
1824600MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address elippitt222366@nyumc.direct-ci.com
Direct Messaging Address elippitt222366@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110505000838 NY Practitioner - Internal Medicine 9436334455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Sep 19, 2017 Accepting new patients
New York University Internal Medicine CurrentSince Sep 19, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Iraj Rahmati MD PC Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952364077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344915",
            "telephone_number": "718-716-4400",
            "fax_number": "718-228-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344915",
            "telephone_number": "212-304-6920",
            "fax_number": "212-544-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPITT",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824600",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elippitt222366@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "111 Broadway",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100061901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elippitt222366@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "111 Broadway",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100061901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.