Organization Active NPI

Irwin L. Lifrak, M.D.

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1972643815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IRWIN L. LIFRAK, M.D.
Practice address
1010 N Union St
Suite #5
Wilmington, DE 19805-2731
Phone
(302) 654-7317
Fax
(302) 654-3042
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irwin L. Lifrak, M.D.NPI 1538175047
Title
Owner
Phone
(302) 654-7317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1010 N Union St
Suite #5
Wilmington, DE 19805-2731

Mailing address

1010 N Union St
Suite #5
Wilmington, DE 19805-2731
Phone (302) 654-7317

Other identifiers 1

IdentifierTypeStateIssuer
0000548301MedicaidDE

National Provider Directory

National Provider Directory
Tax ID family
Rehab by Dr Lifrak4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 N Union St
Ste 5
Wilmington, DE 19805
Phone (302) 654-7317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972643815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N UNION ST",
            "address_2": "SUITE #5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052731",
            "telephone_number": "302-654-7317",
            "fax_number": "302-654-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N UNION ST",
            "address_2": "SUITE #5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052731",
            "telephone_number": "302-654-7317",
            "fax_number": "302-654-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN L. LIFRAK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIFRAK",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-654-7317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000548301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.