Lorraine J Brancato, MD FICS LLC

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

25MA04721800 Issued in NJ

Practice address

One West Ridgewood Ave
Ste 204
Paramus, NJ 07652-2359

Phone

(201) 493-0102

Fax

(201) 493-1230

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Eye Clinic NJ

  dba Eye Clinic PA

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1467539791

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499558400000",
    "number": "1447205471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WEST RIDGEWOOD AVE",
            "address_2": "STE204",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-493-0102",
            "fax_number": "201-493-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WEST RIDGEWOOD AVE",
            "address_2": "STE 204",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-493-0102",
            "fax_number": "201-493-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCATO",
        "first_name": "LORRAINE",
        "middle_name": "J",
        "credential": "MD FICS LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04721800",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MA04721800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Bottiglieri, RN,CMT
• Irvin D Bough Jr., M.D.
• Sara Boyadjis
• Aleksandra Bozovic, APN
• Alicia Brady
• Laura Branna
• Reuben Brathwaite
• Taihra Braxton Roca, LPC
• Kristy Brazofsky, M.S.,CCC-SLP
• Conor T Brennan

• Glaucoma Specialist (Ophthalmology) Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Glaucoma Specialist (Ophthalmology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.