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SIMON LIPETZ MD. P.C
NPI 1235338138
Legal Medicine in Forest Hills, NY

Active since July 12, 2007CLIA 33D0865466 · Waiver
104-60 QUEENS BLVD, SUITE CH, FOREST HILLS, NY 11375(718) 275-4849(718) 275-6381 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Lipetz Md. P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMON LIPETZ MD. P.C (NPI 1235338138) is a healthcare organization registered as a legal medicine in Forest Hills, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Simon Lipetz, Owner, as its authorized official.

NPPES Registry Identity

NPI1235338138
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameSIMON LIPETZ MD. P.C
Location Address104-60 QUEENS BLVD, SUITE CHForest Hills, NY 11375
Mailing Address104-60 Queens Blvd., Suite ChForest Hills, NY 11375 · (718) 275-4849 · Fax (718) 275-6381
Phone(718) 275-4849
Fax(718) 275-6381
Organization SubpartNo
Authorized OfficialSimon LipetzOwner · (718) 275-4849
Enumeration DateJuly 12, 2007
Last NPPES UpdateJuly 15, 2014
✔ NPI 1235338138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Licenses✔ Licensed in NY · 186190✔ Licensed in NY · 107463✔ Licensed in NY · 458751
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Also ListedInternal MedicineTaxonomy 207R00000X
104-60 QUEENS BLVD, Forest Hills, NY 11375
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB78750NY
Medicare PIN00562NY
Medicare UPINB14878NY
Medicare UPINF37654NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0865466

Simon Lipetz MD PC · Forest Hills, NY
Active · expires Aug 31, 2026
CLIA Number33D0865466
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSimon S. Lipetz
Laboratory Phone(718) 275-4849
Laboratory LocationSimon Lipetz MD PC104-60 Queens Blvd, Forest Hills, NY 11375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN C. KAUFMAN MD, PC
Clinic/Center (Ambulatory Surgical)
104-60 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 897-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Lipetz MD. P.C's NPI number?

The NPI number for Simon Lipetz MD. P.C is 1235338138. It was assigned to this organization in the NPPES registry on July 12, 2007.

Where is Simon Lipetz MD. P.C located?

Simon Lipetz MD. P.C is located at 104-60 Queens Blvd Suite Ch, Forest Hills, NY 11375. The listed phone number is (718) 275-4849.

What is Simon Lipetz MD. P.C's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Simon Lipetz MD. P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0865466) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simon Lipetz MD. P.C was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.