1235325093 NPI number — DR. VIJAY H LAPSIA M.D., M.B.B.S

Table of content: DR. VIJAY H LAPSIA M.D., M.B.B.S (NPI 1235325093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235325093 NPI number — DR. VIJAY H LAPSIA M.D., M.B.B.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAPSIA
Provider First Name:
VIJAY
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., M.B.B.S
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235325093
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 GUSTAVE L.LEVY PLACE
Provider Second Line Business Mailing Address:
BOX 1243
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-241-2264
Provider Business Mailing Address Fax Number:
212-987-0389

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 GUSTAVE L.LEVY PLACE
Provider Second Line Business Practice Location Address:
BOX 1243
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-2264
Provider Business Practice Location Address Fax Number:
212-987-0389
Provider Enumeration Date:
09/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  003562 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A400030940 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3262580 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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