Organization Active NPI

Lawrence S. Borow MD PC

  • Obstetrics & Gynecology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1588965818
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD012802E Issued in PA
Legal business name
LAWRENCE S. BOROW MD PC
Practice address
146 Montgomery Ave
Suite 200
Bala Cynwyd, PA 19004-2956
Phone
(610) 668-1170
Fax
(610) 668-7922
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Lawrence S Borow, MDNPI 1326043886
Title
President
Phone
(610) 668-1170

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
Obstetrics & Gynecology Physician 207V00000X MD012802E PA Primary

Addresses

Primary practice location

146 Montgomery Ave
Suite 200
Bala Cynwyd, PA 19004-2956

Mailing address

146 Montgomery Ave
Suite 200
Bala Cynwyd, PA 19004-2956
Phone (610) 668-1170

Other identifiers 3

IdentifierTypeStateIssuer
32005OtherPAAETNA
00454004000OtherPAKEYSTONE EAST
158729OtherPAIBC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000831 PA Part B Supplier - Clinic/Group Practice 1153517669 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1588965818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MONTGOMERY AVE",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042956",
            "telephone_number": "610-668-1170",
            "fax_number": "610-668-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MONTGOMERY AVE",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042956",
            "telephone_number": "610-668-1170",
            "fax_number": "610-668-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S. BOROW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "BOROW",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-668-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD012802E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "32005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "00454004000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "158729",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.