Individual provider Active NPI

Elijah James Luyten, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1255574372
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240645 Issued in NY
Practice address
332 E 14TH St
New York, NY 10003-4243
Phone
(212) 481-3333
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 240645 NY
Internal Medicine Physician 207R00000X 240645 NY Primary

Addresses

Primary practice location

332 E 14TH St
New York, NY 10003-4243

Mailing address

332 E 14TH St
New York, NY 10003-4243
Phone (212) 481-3333

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001029 NY Practitioner - General Practice 6002152386 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240645NYMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Dec 16, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 16, 2024 Accepting new patients
14 Street Medical, PC Internal Medicine CurrentSince Apr 6, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

174 Nassau St
Princeton, NJ 08542
Phone (917) 488-4482

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

912 Columbus Ave
New York, NY 10025
Phone (212) 481-3333

110 W 14th St
Fl 1
New York, NY 10011
Phone (212) 481-3333

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: elijah.luyten.1@13555.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1255574372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034243",
            "telephone_number": "212-481-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034243",
            "telephone_number": "212-481-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUYTEN",
        "first_name": "ELIJAH",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "240645",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.