Organization Active NPI

Orris MD PLLC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1457524084
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
222807 Issued in NY
Legal business name
ORRIS MD PLLC
Practice address
1192 Broadway
Brooklyn, NY 11221-3018
Phone
(718) 963-2300
Fax
(718) 963-2364
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Maxine Orris
Title
Sole Proprieter
Phone
(718) 963-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 222807 NY Primary

Addresses

Primary practice location

1192 Broadway
Brooklyn, NY 11221-3018

Mailing address

415 Central Park W
6D
New York, NY 10025-4856
Phone (917) 692-9070

National Provider Directory

National Provider Directory

Locations

1192 Broadway
Brooklyn, NY 11221
Phone (718) 336-4806

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1457524084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CENTRAL PARK W",
            "address_2": "6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254856",
            "telephone_number": "917-692-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213018",
            "telephone_number": "718-963-2300",
            "fax_number": "718-963-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORRIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-963-2300"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "222807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2010; 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.