Active NPI
Patrick V. Lippa
- Durable Medical Equipment & Medical Supplies
- Le Roy, NY
National Provider Identifier
1962686642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 42 Main St
Le Roy, NY 14482-1443 - Phone
- (585) 768-9495
- Fax
- (585) 768-7376
- NPI assigned
- Dec 18, 2007
- Last updated
- Jan 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
42 Main St
Le Roy, NY 14482-1443
Mailing address
42 Main St.
Leroy, NY 14482
Phone (585) 768-9495
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8291475 | Other | NY | INDEPENDENT HEALTH |
| 9008369 | Other | NY | AETNA |
| 00820001272 | Other | NY | UNITED HEALTHCARE |
| 00820001272 | Other | NY | EMPIRE |
| TIN | Other | NY | FEDELIS |
| TIN | Other | NY | RSMCO |
| TIN | Other | NY | TRICARE |
| 000031396201 | Other | NY | UNIVERA |
| 17351 | Other | NY | MVP |
| P1070059DS | Other | NY | EXCELLUS BLUE CHOICE |
| TIN | Other | NY | HUMANA |
| TIN | Other | NY | NEW YORK STATE WORKMAN'S COMP |
| 000419218001 | Other | NY | BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK |
| 02885894 | Medicaid | NY | |
| TIN | Other | NY | HME NATIONAL NETWORK |
| TIN | Other | NY | NEW YORK STATE INSURANCE FUND |
| P0170059DM | Other | NY | EXCELLUS BLUE SHIELD |
| TIN | Other | NY | POMCO |
| TIN | Other | NY | CHAMPVA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1962686642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MAIN ST.",
"city": "LEROY",
"state": "NY",
"postal_code": "14482",
"telephone_number": "585-768-9495",
"fax_number": "585-768-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MAIN ST",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821443",
"telephone_number": "585-768-9495",
"fax_number": "585-768-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPA",
"first_name": "PATRICK",
"middle_name": "V.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8291475",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9008369",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "00820001272",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "00820001272",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDELIS",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RSMCO",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "000031396201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "17351",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CHOICE",
"identifier": "P1070059DS",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE WORKMAN'S COMP",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK",
"identifier": "000419218001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02885894",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HME NATIONAL NETWORK",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE INSURANCE FUND",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE SHIELD",
"identifier": "P0170059DM",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "TIN",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPVA",
"identifier": "TIN",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Le Roy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.