Organization Active NPI

Dr Toprover Medical LLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1033244686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203487 Issued in NY
Legal business name
DR TOPROVER MEDICAL LLC
Practice address
207 Ocean Pkwy Ste 1F
Brooklyn, NY 11218-3211
Phone
(718) 633-3823
Fax
(718) 633-3903
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leonid Toprover, MDNPI 1174568596
Title
Owner
Phone
(718) 633-3823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 203487 NY Primary

Addresses

Primary practice location

207 Ocean Pkwy Ste 1F
Brooklyn, NY 11218-3211

Mailing address

207 Ocean Pkwy Ste 1F
Brooklyn, NY 11218-3211
Phone (718) 633-3823

Other identifiers 1

IdentifierTypeStateIssuer
01673665MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000090 NY Part B Supplier - Clinic/Group Practice 7113962564 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

207 Ocean Pkwy
Ste 1F
Brooklyn, NY 11218
Phone (718) 633-3823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033244686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OCEAN PKWY STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183211",
            "telephone_number": "718-633-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OCEAN PKWY STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183211",
            "telephone_number": "718-633-3823",
            "fax_number": "718-633-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TOPROVER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOPROVER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-633-3823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01673665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.