Liji M Vipin (NPI# 1760856538, PAC ID# 6406140599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760856538 |
| PAC ID by PECOS | 6406140599 |
| Professional Enrollment ID | I20160812000393 |
| Full Name | Liji M Vipin |
| Organization Legal Name | LYCEUM PHYSICAL MEDICINE, PC |
| Address |
445 Lyceum Ave Philadelphia PA 19128-3420 |
| Phone Number | 2155085555 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204006554 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390304 | ROXBOROUGH MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 445 Lyceum Ave, Philadelphia, PA 19128-3420 | 2155085555 | LYCEUM PHYSICAL MEDICINE, PC |
| Organization Legal Name | LYCEUM PHYSICAL MEDICINE, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| William J Pezzello Jr. | Chiropractic | Lyceum Physical Medicine, PC | 445 Lyceum Ave, Philadelphia, PA 19128-3420 |
| Andrew Piazza | Chiropractic | Lyceum Physical Medicine, PC | 445 Lyceum Ave, Philadelphia, PA 19128-3420 |
| Street Address |
445 LYCEUM AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19128-3420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Pezzello Jr. | Chiropractic | Lyceum Physical Medicine, PC | 445 Lyceum Ave, Philadelphia, PA 19128-3420 |
| Andrew Piazza | Chiropractic | Lyceum Physical Medicine, PC | 445 Lyceum Ave, Philadelphia, PA 19128-3420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D La Valle | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Darnell M Lorick | Nurse Practitioner | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Christina Hallquist | Clinical Social Worker | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Michael P Gray | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Erica M Brendel | Psychiatry | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Deborah A Carter | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Daniel T Fitzgerald | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Samuel Schepart | Chiropractic | Lyceum Longevity Center Pllc | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Marlene Fox Goldwein | Internal Medicine | Einstein Community Health Associates Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Find all physicians in zip 19128 | |||
| City | PHILADELPHIA |
| Zip Code | 19128 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHILADELPHIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Liji M Vipin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.