Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kip Lord Bodi, MDFACS

Individual provider Specialist · NPI 1982689428

Dr. Kip Lord Bodi, MDFACS is an Urology in Greenlawn, New York. Qualified in 1978, 48 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
48
Licensed in
NY
In the registry since
2005

Practice location Address checks out

284 Pulaski Rd 2nd Fl
Greenlawn, NY 11740-1602
Phone: (631) 271-1608
Fax: (631) 271-1968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 144782 (NY)

Record details

NPI number1982689428
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACS
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Greenlawn