Active NPI
Larry Lipetz
- Pharmacist
- Flushing, NY
National Provider Identifier
1982885075
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029925-1
- Practice address
- 18616 Union Tpke
Flushing, NY 11366-1734 - Phone
- (718) 264-0319
- NPI assigned
- Nov 17, 2007
- Last updated
- Nov 17, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029925-1 | NY | Primary |
Addresses
Primary practice location
18616 Union Tpke
Flushing, NY 11366-1734
Mailing address
18616 Union Tpke
Flushing, NY 11366-1734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01686502 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029925-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195257600000",
"number": "1982885075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18616 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18616 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661734",
"telephone_number": "718-264-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPETZ",
"first_name": "LARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-17",
"last_updated": "2007-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029925-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01686502",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.