Provider Demographics
NPI:1508814476
Name:LAPIDUS, ROBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:LAPIDUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 UNITED NATIONS PLZ
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3540
Mailing Address - Country:US
Mailing Address - Phone:212-362-6200
Mailing Address - Fax:
Practice Address - Street 1:845 UNITED NATIONS PLZ APT 47D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3535
Practice Address - Country:US
Practice Address - Phone:212-362-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14381R2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1108481Medicaid
LA1108481Medicaid
NYA400121233Medicare PIN
NYG400212093Medicare PIN
LA4A841Medicare PIN
NYA400112639Medicare PIN