Organization Active NPI

Loring Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1811213119
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254652 Issued in NY
Legal business name
LORING MEDICAL PC
Practice address
1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621
Phone
(718) 940-9010
Fax
(718) 940-9012
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Golali Nejati, MDNPI 1922231604
Title
Owner
Phone
(646) 919-8287

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 254652 NY Primary

Addresses

Primary practice location

1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621

Mailing address

1270 Flatbush Ave FL 1
Brooklyn, NY 11226-7621
Phone (718) 940-9010

Other identifiers 1

IdentifierTypeStateIssuer
03158454MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000617 NY Part B Supplier - Clinic/Group Practice 8224290622 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1360 Loring Ave
Brooklyn, NY 11208

1270 Flatbush Ave
#1
Brooklyn, NY 11226
Phone (718) 940-9010

Practitioners & affiliated clinicians

Practitioners 4

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1811213119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 FLATBUSH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267621",
            "telephone_number": "718-940-9010",
            "fax_number": "718-940-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 FLATBUSH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267621",
            "telephone_number": "718-940-9010",
            "fax_number": "718-940-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORING MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "NEJATI",
        "authorized_official_first_name": "GOLALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-919-8287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158454",
            "state": "NY"
        }
    ],
    "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 Jan 30, 2024; 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.