Active NPI
Branko Skovrlj, M.D.
- Neurological Surgery Physician
- New York, NY
National Provider Identifier
1649414954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 207T00000X
- Practice address
- 5 E 98TH St # 1259
New York, NY 10029-6501 - Phone
- (212) 241-5871
- NPI assigned
- Apr 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 207T00000X | NY | Primary |
Addresses
Primary practice location
5 E 98TH St # 1259
New York, NY 10029-6501
Mailing address
2 Lathrop Ave
Binghamton, NY 13905-4314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207T00000X | NY | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation and Pain Medicine Group, Inc. | Past | Accepting new patients | |
| Advanced Rehabilitation and Pain Medicine | Past | Accepting new patients |
Interoperability endpoints
- bskovrlj191147@ahs.direct-ci.com
- branko.skovrlj@nuspine.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DBCACD/Endpoint/DBCACD
Organizations & group practices 2
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.
-
- Pain Clinic/Center
- North Bergen, NJ
- NPI 1447553037
-
- Interventional Pain Medicine Physician
- North Bergen, NJ
- NPI 1932469285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1649414954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LATHROP AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST # 1259",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296501",
"telephone_number": "212-241-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOVRLJ",
"first_name": "BRANKO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "207T00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.