DR. KIP LORD BODI (NPI# 1982689428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982689428 |
| Entity Type | Individual |
| Full Name | DR. KIP LORD BODI |
| Credential | MD FACS |
| Practice Address |
284 Pulaski Rd 2nd Floor Greenlawn NY 11740-1602 |
| Practice Telephone | 6312711608 |
| Practice Fax Number | 6312711968 |
| Mailing Telephone | 6312711608 |
| Mailing Fax Number | 6312711968 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 144782 | NY | Other Service Providers |
| Street Address |
284 PULASKI RD 2ND FLOOR |
| City | GREENLAWN |
| State | NY |
| Zip Code | 11740-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689082802 | Michelle Baek | Nurse Practitioner | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2014-07-31 |
| 1134549850 | Anne E. Kieran | Family Medicine | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2014-04-21 |
| 1043634009 | Angie Ruth Hylton | Nurse Practitioner | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2014-02-12 |
| 1083957799 | Katherine Murphy | Family Medicine | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2013-04-01 |
| 1184877037 | Carrol Brandt | Nurse Practitioner | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2008-10-23 |
| 1487826921 | Brenda Poykayil George | Family Medicine | 284 Pulaski Rd, Dolan Family Health Center, Greenlawn, NY 11740-1602 | 2008-03-25 |
| 1174703193 | Lisa Rolon | Obstetrics & Gynecology | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2007-11-07 |
| 1477606069 | Youngmee Lee | Advanced Practice Midwife | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2007-01-19 |
| 1760580088 | Saili Desai | Family Medicine | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2006-09-20 |
| 1588768790 | County of Suffolk | Clinic/Center | 284 Pulaski Rd, Greenlawn, NY 11740-1602 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003396979 | Paula M. Tortorici-scheff | Registered Nurse | 284 Pulaski Road, 2nd Floor, Smith Institute of Urology, Greenlawn, NY 11740 | 2018-08-20 |
| 1760914634 | William Berger | Internal Medicine | Mount Sinai Doctors Long Island, 5 Cuba Hill Road, Greenlawn, NY 11740 | 2017-03-30 |
| 1912332990 | Brittany Conforti | Speech-Language Pathologist | 10 Aster Street, Greenlawn, NY 11740 | 2013-09-09 |
| 1770895609 | Gretchen Alice Eigenbrod | Acupuncturist | 14 Old Hills Ln, Greenlawn, NY 11740 | 2010-07-08 |
| 1043428550 | Roseann Cavallaro | Dentist | 16 Ann St, Greenlawn, NY 11740 | 2007-05-18 |
| 1104893932 | Michael S Buchholtz Md PC | Internal Medicine | 270 Pulaski Road, Suite D, Greenlawn, NY 11740 | 2006-03-01 |
| 1952871592 | Alyssa M Kaiser | Social Worker | 790 Park Ave, Huntington, NY 11740 | 2018-11-27 |
| 1124410634 | Cecilia Griffin Cassidy | Nurse Practitioner | 5 Cuba Hill Rd, Greenlawn, NY 11740 | 2015-02-21 |
| 1558704148 | Adrienne Heather Mandelberger | Obstetrics & Gynecology | 5 Cuba Hill Rd, Greenlawn, NY 11740 | 2013-04-12 |
| 1205151610 | Frank Campise | Pharmacist | 51 Broadway, Greenlawn, NY 11740 | 2010-03-30 |
| Find all providers in zip 11740 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639550882 | Lori Lizzo | Specialist | 7 Chauser Dr, Greenlawn, NY 11740-3105 | 2015-06-13 |
| 1881847051 | Michael S. Buchholtz, Md PC | Specialist | 270 Pulaski Rd, Suite D, Greenlawn, NY 11740-1605 | 2008-10-31 |
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| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
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| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
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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.