DR. DIPA R AVICHAL


Address: 1999 Marcus Avenue, Suite 216, Lake Success, NY 11042
Phone: 5167754545

DR. DIPA R AVICHAL (NPI# 1881074060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881074060
Entity Type Individual
Full Name DR. DIPA R AVICHAL
Credential D.O.
Practice Address 1999 Marcus Avenue
Suite 216
Lake Success
NY 11042
Mailing Address 101 Nicolls Rd
Stony Brook
NY 11794-0001
Practice Telephone 5167754545
Practice Fax Number 5167754646
Mailing Telephone 6314440480
Mailing Fax Number 6314445245
Enumeration Date 2015-06-03
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
303282 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5501 Old York Rd, Philadelphia, PA 191413018 2154566500

Office Location

Street Address 1999 MARCUS AVENUE
SUITE 216
City LAKE SUCCESS
State NY
Zip Code 11042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861522153 Takao Ohki Surgery 1999 Marcus Avenue, Lijmc-dept of Surgery - Div of Vascular Surgery, Lake Success, NY 11042 2007-03-06
1366930836 Agewell Diagnostics, Inc. Physical Therapist 1999 Marcus Avenue, Suite M15, Lake Success, NY 11042 2018-04-30
1326360819 Howard J. Winter, Dds LLC Dentist 1999 Marcus Avenue, Suite M1, Lake Success, NY 11042 2010-02-24
1275783128 Kimberly Baggio Nurse Practitioner 1999 Marcus Avenue, Suite M18, Lake Success, NY 11042 2008-09-29
1194981118 Dina M Barbarino Nurse Practitioner 1999 Marcus Avenue, Suite 110, Lake Success, NY 11042 2008-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649871260 Advanced Cardiovascular Diagnostics, Pllc Internal Medicine 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 2020-11-02
1568093771 Global Slp Ot Pt & Psychological Services, Pllc Physical Therapist 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 2020-01-28
1730745761 Miriam Korbman Psychologist 2001 Marcus Ave Suite E128, Lake Success, NY 11042 2019-05-15
1306402409 Swachi Jain Student in an Organized Health Care Education/Training Program Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 2019-05-14
1215407432 Samara Carly Badash Physical Therapist Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 2018-11-30
1720578578 Nidhi Kataria Student in an Organized Health Care Education/Training Program Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 2018-05-17
1558870162 Rosemary Elizabeth Fine Nurse Practitioner 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 2017-09-26
1255861159 Nicole Renee Cohen Speech-Language Pathologist 1893 Marcus Ave, C118, New Hyde Park, NY 11042 2017-06-14
1366807943 Molly Rubinoff Nurse Practitioner 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 2015-12-23
1255701959 Prohealth Dental Pllc Dentist 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 2015-10-07
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770538548 Rachelle Bitton Internal Medicine 2800 Marcus Ave, Lake Success, NY 11042-1008 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689271629 Cecelia Health, Inc. Internal Medicine 355 Lexington Ave # 12f, New York, NY 10017-6603 2020-10-02
1679199608 Mount Sinai School of Medicine Internal Medicine 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 2020-06-25
1033677810 Sarah Fishman Md, Phd PC Internal Medicine 121 E 60th St Apt 3b, New York, NY 10022-1164 2019-03-11
1861969404 Mt Endocrinology PC Internal Medicine 984 N Broadway Ste 305, Yonkers, NY 10701-1308 2018-11-01
1306389523 Dina Zaqqa Internal Medicine 76 Adams Rd, Saratoga Springs, NY 12866-9008 2016-11-19
1740731876 Beth Anne Piper Internal Medicine 104 Union Ave Ste 801, Syracuse, NY 13203-1844 2016-10-24
1023487394 Michael Berelowitz Internal Medicine 415 E 37th St Apt 36c, New York, NY 10016-3261 2015-09-17
1316326317 Westchester Endrocrinology Pllc Internal Medicine 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 2015-05-22
1730577602 Nicseb Medical PC Internal Medicine 103 W 117th St, Ph, New York, NY 10026-2963 2014-12-31
1962812529 Maria Teresa Anton Internal Medicine 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 2014-05-05
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Competitor

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City LAKE SUCCESS
Zip Code 11042

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Dataset Information

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.

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