Active NPIIndividual provider

Andi Qipo, MD

Hospitalist in Fair Lawn, New Jersey

NPI Number1164768461
Practice location
22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016
Fax
973-754-2772
Last updated
June 16, 2015

Andi Qipo is a Hospitalist based in Fair Lawn, NJ. Andi Qipo practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Andi Qipo is 1164768461 and holds a License No. 25MA09570500 (NJ). The current practice location address for Andi Qipo is 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 973-754-2770 and via fax at 973-754-2772.

Provider Profile Details

NPI Number
1164768461
Provider Name
Andi Qipo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016
Phone Number
973-754-2770
Fax Number
973-754-2772
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2012
Last Update Date
June 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
973-754-2770
Fax Number
973-754-2772
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
703 Main Street
St. Joseph'S Regional Medical Center
Paterson, NJ 07503
City
Paterson
State
NJ
Zip
07503
Phone Number
973-754-2770
Fax Number
973-754-2772

License Information

License Number (1)
25MA09570500
License State (1)
NJ
Taxonomy (1)
Hospitalist · 208M00000X · Primary
License Number (2)
277211
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andi Qipo, MD?

The NPI number of Andi Qipo, MD is 1164768461. It was assigned on December 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Andi Qipo, MD?

Andi Qipo, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NJ under license number 25MA09570500.

Where does Andi Qipo, MD practice?

The practice location is 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016. The office can be reached at 973-754-2770 (phone) or 973-754-2772 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164768461 directly on the NPPES registry website.

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