Organization Active NPI

Lor Medical PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1073533469
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199622 Issued in NY
Legal business name
LOR MEDICAL PC
Practice address
1810 Voorhies Ave
Brooklyn, NY 11235-3609
Phone
(718) 616-1000
Fax
(718) 616-1110
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Daniel Igor Branovan, M.D.NPI 1235198250
Title
Owner
Phone
(718) 616-1000

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 199622 NY Primary

Addresses

Primary practice location

1810 Voorhies Ave
Brooklyn, NY 11235-3609

Mailing address

1810 Voorhies Ave
Brooklyn, NY 11235-3609
Phone (718) 616-1000

Other names 1

  • Daniel Branovan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000026 NY Part B Supplier - Clinic/Group Practice 0941336556 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2560 Ocean Ave
#2A
Brooklyn, NY 11229
Phone (347) 398-1693

1810 Voorhies Ave
Brooklyn, NY 11235
Phone (347) 605-5740

Practitioners & affiliated clinicians

Practitioners 3

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1073533469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353609",
            "telephone_number": "718-616-1000",
            "fax_number": "718-616-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353609",
            "telephone_number": "718-616-1000",
            "fax_number": "718-616-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BRANOVAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-616-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Branovan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 25, 2012; 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.