Organization Active NPI

Pine Point Medical, PLLC

  • Internal Medicine Physician
  • Lansing, NY
National Provider Identifier
1982235768
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PINE POINT MEDICAL, PLLC
Practice address
3105 N. Triphammer Road
Suite 7
Lansing, NY 14882-8906
Phone
(607) 553-0281
Fax
(833) 974-2463
NPI assigned
Jan 30, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Dr. Douglas Macqueen, MDNPI 1427129543
Title
MD/Owner
Phone
(607) 533-0281

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 Physician 207R00000X NU Primary

Addresses

Primary practice location

3105 N. Triphammer Road
Suite 7
Lansing, NY 14882-8906

Mailing address

3105 N. Triphammer Road
Suite 7
Lansing, NY 14882-8906
Phone (607) 553-0281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413001768 NY Part B Supplier - Clinic/Group Practice 3678903762 Receives reassigned benefits from 5 practitioners
Practice locations: Lansing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2196157Pine Point Medical PLLC3105 N Triphammer Rd Suite 7, Lansing, NY 14882Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

3105 N Triphammer Rd
Ste 7
Lansing, NY 14882
Phone (607) 533-0281

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21066/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1982235768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 N. TRIPHAMMER ROAD",
            "address_2": "SUITE 7",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828906",
            "telephone_number": "607-553-0281",
            "fax_number": "833-974-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N. TRIPHAMMER ROAD",
            "address_2": "SUITE 7",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828906",
            "telephone_number": "607-553-0281",
            "fax_number": "833-974-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE POINT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "MACQUEEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "607-533-0281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.