Provider Demographics
NPI:1528160421
Name:JUDAH SCHORR MD PC
Entity type:Organization
Organization Name:JUDAH SCHORR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-601-8390
Mailing Address - Street 1:2 RIVERCREST RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1237
Mailing Address - Country:US
Mailing Address - Phone:718-601-8390
Mailing Address - Fax:
Practice Address - Street 1:2 RIVERCREST ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471
Practice Address - Country:US
Practice Address - Phone:718-601-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207L00000X
169003207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02255Medicare ID - Type UnspecifiedGROUP GHI MEDICARE#
NJ531436Medicare ID - Type UnspecifiedNORTHERN NJ GROUP#
NYW4L051Medicare ID - Type UnspecifiedGROUP
NJ031094Medicare ID - Type UnspecifiedSOUTHERN NJ GROUP#