Provider Demographics
NPI:1649351271
Name:NEW YORK MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:NEW YORK MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-570-2077
Mailing Address - Street 1:551 MADISON AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3274
Mailing Address - Country:US
Mailing Address - Phone:212-570-2077
Mailing Address - Fax:212-249-6856
Practice Address - Street 1:551 MADISON AVE STE 700
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3274
Practice Address - Country:US
Practice Address - Phone:212-570-2077
Practice Address - Fax:212-249-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW30191Medicare ID - Type Unspecified