Physician Compare National (NPI:1447447123)

HEALTHCARE PROVIDER: TAMAR LIPOF MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1447447123
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739373689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101104000469
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIPOF
	Individual professional last name
Provider First Name	TAMAR
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	COLORECTAL SURGERY (PROCTOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NORTHEAST MEDICAL PRACTICE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2365405024
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	147
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	85 HERRICK ST
	Group Practice or individual's line 1 address
City	BEVERLY
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	019151790
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9788163700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHEST HOSPITAL CORPORATION
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y