ROSS ELIOTT LIPTON (NPI# 1518256767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518256767 |
| Entity Type | Individual |
| Full Name | ROSS ELIOTT LIPTON |
| Credential | M.D. |
| Practice Address |
635 Belle Terre Rd Ste 209 Port Jefferson NY 11777 |
| Mailing Address |
635 Belle Terre Rd Ste 209 Port Jefferson NY 11777-1935 |
| Practice Telephone | 6314740707 |
| Practice Fax Number | 6314744034 |
| Mailing Telephone | 6314740707 |
| Mailing Fax Number | 6314744034 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 202189 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
202189 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
202189 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
202189 | NY | Allopathic & Osteopathic Physicians |
| N | 204R00000X | Electrodiagnostic Medicine | 202189 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
635 BELLE TERRE RD STE 209 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848970 | Samuel Pearce Brown | Physical Medicine & Rehabilitation | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2010-08-18 |
| 1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
| 1215495700 | Staci Marie Clabough | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-03-04 |
| 1134634645 | Long Island Physician Affiliates, Pllc | Anesthesiology | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1935 | 2017-12-06 |
| 1194107961 | Kristen Ann Klein | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376938316 | Bridget Rita Mueller | Psychiatry & Neurology | 42 Brixton Rd, Garden City, NY 11530-4222 | 2015-04-06 |
| 1558527382 | Harsha V Duvvi | Psychiatry & Neurology | 35 William Puckey Dr, Cortlandt Manor, NY 10567-6215 | 2008-07-31 |
| 1073730594 | Eugene Perlov | Psychiatry & Neurology | 172 Spillway Rd, West Hurley, NY 12491-5147 | 2007-04-18 |
| 1700814431 | Pavel Kulik | Psychiatry & Neurology | 3066 Brighton 6th St, Brooklyn, NY 11235-6488 | 2006-06-29 |
| 1851366066 | Benjamin Feldshuh | Psychiatry & Neurology | 150 E 37th St, Apt Lbb, New York, NY 10016-3124 | 2006-02-21 |
| 1639621493 | Bk Medical, P.c | Psychiatry & Neurology | 1664 E 14th St Ste 302, Brooklyn, NY 11229-1167 | 2016-10-27 |
| 1891163291 | Lawrence Littell Do, Phd, PC | Psychiatry & Neurology | 18564 Us Route 11, Suite 2, Watertown, NY 13601-5900 | 2015-09-02 |
| 1245625730 | Britany Klenofsky | Psychiatry & Neurology | 5 E 98th St Fl 7, New York, NY 10029-6501 | 2015-04-01 |
| 1801207014 | Rohit Sanjeev Aiyer | Psychiatry & Neurology | 450 Seaview Avenue, Staten Island University Hospital - 2nd Floor, Staten Island, NY 10305 | 2014-05-12 |
| 1154741932 | Vijayalekshmi Varada Nair | Psychiatry & Neurology | 750 E Adams St, Syracuse, NY 13210-2306 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.