Individual provider Active NPI

Irina Lazarovich, RPA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1710043229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009320 Issued in NY
Practice address
2583 Ocean Avenue
Infinite Medical Services, PC
Brooklyn, NY 11229
Phone
(718) 743-0677
Fax
(718) 743-0679
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009320 NY Primary

Addresses

Primary practice location

2583 Ocean Avenue
Infinite Medical Services, PC
Brooklyn, NY 11229

Mailing address

944-43Rd St. #1
Brooklyn, NY 11219
Phone (718) 853-1929

Other identifiers 1

IdentifierTypeStateIssuer
01-0813160OtherNYEMPLOYER IDENTIFICATION N

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000836 NY Practitioner - Physician Assistant 2466439427 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMN Medical P.C. PastSince Jan 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: irina.lazarovich@multicaremed.ehi.direct-ci.com
  • Direct secure messaging: irina.lazarovich.1@8181.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710043229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944-43RD ST. #1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-853-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 OCEAN AVENUE",
            "address_2": "INFINITE MEDICAL SERVICES, PC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-743-0677",
            "fax_number": "718-743-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAROVICH",
        "first_name": "IRINA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION N",
            "identifier": "01-0813160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.