MEDICARE: LEXPARK MEDICAL CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1659024081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXPARK MEDICAL CARE PLLC

Provider Business Mailing Address
First Line	:	209 GLEN COVE RD STE 101
Second Line	:
City	:	CARLE PLACE
State	:	NY
Zip	:	11514-1226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E 79TH ST OFC 1A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-0319
Country	:	US
Telephone Number	:	212-861-0400
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. JAY KRIPALANI
Credential	:	MD
Telephone Number	:	212-861-0400

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	08/06/2022

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