Patrick V. Lippa
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Le Roy, NY
NPI 1962686642 · NPPES record last updated Jan 20, 2015
Key facts
- NPI
- 1962686642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 42 Main St
Le Roy, NY 14482-1443 - Phone
- (585) 768-9495
- Fax
- (585) 768-7376
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000419218001 | Other | NY | BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK |
| TIN | Other | NY | POMCO |
| TIN | Other | NY | NEW YORK STATE WORKMAN'S COMP |
| 00820001272 | Other | NY | UNITED HEALTHCARE |
| TIN | Other | NY | FEDELIS |
| 00820001272 | Other | NY | EMPIRE |
| 17351 | Other | NY | MVP |
| TIN | Other | NY | NEW YORK STATE INSURANCE FUND |
| 000031396201 | Other | NY | UNIVERA |
| 8291475 | Other | NY | INDEPENDENT HEALTH |
| 9008369 | Other | NY | AETNA |
| TIN | Other | NY | HUMANA |
| 02885894 | Medicaid | NY | |
| P0170059DM | Other | NY | EXCELLUS BLUE SHIELD |
| P1070059DS | Other | NY | EXCELLUS BLUE CHOICE |
| TIN | Other | NY | RSMCO |
| TIN | Other | NY | TRICARE |
| TIN | Other | NY | HME NATIONAL NETWORK |
| TIN | Other | NY | CHAMPVA |
Other providers in Le Roy, NY
- Leroy Family Medical Care, PLLC
- Leroy Manor Home Care
- Leroy Operating LLC
- Leroy Village Green Residential Health Care Facility Inc
- Allison Nicole Lezcano
- Amy Elizabeth Loranty
- Lauren Elizabeth Loss
- Susan Blake Lyons
- Melissa Mangino
- Jessica Eve Matthews
All providers in Le Roy, NY · Durable Medical Equipment & Medical Supplies in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.