Healthcare Provider Details

I. General information

NPI: 1972420263
Provider Name (Legal Business Name): ORRIN LIPPOFF, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8214 18TH AVE
BROOKLYN NY
11214-2901
US

IV. Provider business mailing address

9917 SHORE RD APT 9B 9B
BROOKLYN NY
11209-7926
US

V. Phone/Fax

Practice location:
  • Phone: 718-331-6600
  • Fax: 718-259-0094
Mailing address:
  • Phone: 718-331-6600
  • Fax: 718-259-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ORRIN LIPPOFF
Title or Position: OWNER
Credential: MD
Phone: 917-301-3300