DR. MATTHEW IVAN LIPP (NPI# 1649242868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649242868 |
Entity Type | Individual |
Full Name | DR. MATTHEW IVAN LIPP |
Credential | MD |
Practice Address |
40 Main St Chatham NJ 07928-2431 |
Practice Telephone | 9736350800 |
Practice Fax Number | 9736356254 |
Mailing Telephone | 9736350800 |
Mailing Fax Number | 9736356254 |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | 25MA07739500 | NJ | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA07739500 | NJ | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA07739500 | NJ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841326097 | Matthew Lipp | Social Worker | 148 Park Pl, Brooklyn, NY 11217-3303 | 2007-02-24 |
Street Address |
40 MAIN ST |
City | CHATHAM |
State | NJ |
Zip Code | 07928-2431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295739571 | John Zachary Shumko | Physical Medicine & Rehabilitation | 40 Main St, Chatham, NJ 07928-2431 | 2005-06-02 |
1891271656 | Gabrielle Marie Davis | Physician Assistant | 40 Main St, Chatham, NJ 07928-2431 | 2018-07-16 |
1346747490 | Summit Intraoperative Neuromonitoring | Specialist/Technologist, Other | 40 Main St, Chatham, NJ 07928 | 2018-04-06 |
1598263253 | Shayna Marissa Chevinsky | Physician Assistant | 40 Main St, Chatham, NJ 07928-2431 | 2018-01-29 |
1649713132 | Abraham Salamon | Physical Therapist | 40 Main St, Chatham, NJ 07928-2431 | 2016-12-01 |
1164979787 | Arthur Shevardnadze | Physical Therapist | 40 Main St, Chatham, NJ 07928-2431 | 2016-09-01 |
1982077087 | Summit Spine, PC | Specialist | 40 Main St, Chatham, NJ 07928-2431 | 2015-11-11 |
1487910469 | Elena Barros | Physician Assistant | 40 Main St, Chatham, NJ 07928-2431 | 2012-04-04 |
1043512460 | Amy Rolsky | Physical Therapist | 40 Main St, Msi Physical Therapy, Chatham, NJ 07928-2431 | 2010-11-18 |
1396069787 | John Anthony Tramontana | Physical Therapist | 40 Main St, Chatham, NJ 07928-2431 | 2010-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407410574 | Deborah Conway | Counselor | 10 Fairmount Ave., Chatham, NJ 07928 | 2019-04-24 |
1023537438 | Claire Elizabeth Shimchak | Specialist/Technologist | 188 Watchung Ave, Chatham, NJ 07928 | 2017-09-18 |
1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
1558769414 | Chatham Hills Subacute Care Center LLC | Skilled Nursing Facility | 17 Heathcliff Road, Chatham, NJ 07928 | 2014-12-09 |
1841509940 | Dimitry Polyakov | Physical Therapist | 13 Watchung Ave, Total Physical Therapy, Chatham, NJ 07928 | 2010-10-07 |
1851533731 | Robert Richard Springer | Internal Medicine | 18 Birch Hill Drive, Chatham, NJ 07928 | 2009-03-24 |
1104071208 | Robert M. Freda | Internal Medicine | 96 Meyersville Road, Chatham, NJ 07928 | 2008-11-18 |
1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
1336269141 | Maryanne Carbone | Social Worker | 100 Noe Ave, Chatham, NJ 07928 | 2007-03-29 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
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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.