Individual provider Active NPI

Lee S Lovitz, DPM

  • Podiatrist
  • Coventry, RI
National Provider Identifier
1972672699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM00178 Issued in RI
Practice address
1193 Tiogue Avenue
Coventry, RI 02893
Phone
(401) 828-8833
Fax
(401) 822-1515
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Podiatrist 213E00000X DPM00178 RI Primary

Addresses

Primary practice location

1193 Tiogue Avenue
Coventry, RI 02893

Mailing address

1193 Tiogue Avenue
Coventry, RI 02816
Phone (401) 828-8833

Other identifiers 1

IdentifierTypeStateIssuer
9007215MedicaidRI

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prytula Eye Associates Inc PastSince Feb 28, 2018 Accepting new patients
Mark G. Blasbalg OD Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972672699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 TIOGUE AVENUE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-828-8833",
            "fax_number": "401-822-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 TIOGUE AVENUE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-828-8833",
            "fax_number": "401-822-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVITZ",
        "first_name": "LEE",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM00178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007215",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.