Active NPI
Elijah James Luyten, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 240645
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240645 | NY | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| 14 Street Medical, PC | Internal Medicine | Current | 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
- elijah.luyten.1@13555.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1386091486
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- Sunnyside, NY
- NPI 1336603489
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.