Individual provider Active NPI

Leon Scrimmager, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1215020474
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
184535 Issued in NY
Practice address
470 Lenox Ave
Apt 1P
New York, NY 10037-3012
Phone
(212) 249-1627
Fax
(212) 249-1640
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 184535 NY Primary

Addresses

Primary practice location

470 Lenox Ave
Apt 1P
New York, NY 10037-3012

Mailing address

470 Lenox Ave
Apt 1P
New York, NY 10037-3012
Phone (646) 295-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050518000148 NY Practitioner - Internal Medicine 4789625930 Reassigns benefits to 1 organization
Practice locations: New York, NY
I20201203001523 NJ Practitioner - Internal Medicine 4789625930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
May accept Medicare assignment
Group practices
Park Avenue Medical ProfessionalsGroup PAC ID 5698753424, 4 clinicians
Transformative Health and Wellness LLCGroup PAC ID 1557766052, 2 clinicians

Practice addresses (Care Compare)

120 E 86TH St
New York, NY 10028-1062
Phone 2124272000327

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (212) 227-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Health & Wellness LLC CurrentSince May 11, 2021 Accepting new patients
Park Avenue Medical Professionals CurrentSince Feb 10, 2018 Accepting new patients
Transformative Medical Health Nyc PLLC Current Accepting new patients
Leon Scrimmager MD Internal Medicine PastSince Feb 24, 2022 Accepting new patients
Gramercy Cardiac Diagnostic Services, P.C. Past Accepting new patients

Locations

610 Washington Blvd
Jersey City, NJ 07310
Phone (201) 222-1266

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

Interoperability endpoints

  • Direct secure messaging: leon.scrimmager@hhcare.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCADBA/Endpoint/CCADBA

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1215020474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LENOX AVE",
            "address_2": "APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373012",
            "telephone_number": "646-295-4422",
            "fax_number": "212-249-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LENOX AVE",
            "address_2": "APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373012",
            "telephone_number": "212-249-1627",
            "fax_number": "212-249-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIMMAGER",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.