Organization Active NPI

Leon Scrimmager MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1316692866
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEON SCRIMMAGER MD
Practice address
470 Lenox Ave Apt 1P
New York, NY 10037-3012
Phone
(212) 249-1627
Fax
(212) 249-1627
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Dr. Leon Scrimmager, MDNPI 1215020474
Title
Medical Director
Phone
(212) 249-1627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU 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 (212) 249-1627

Other identifiers 1

IdentifierTypeStateIssuer
01435161MedicaidNY

Other names 1

  • Upper Eastside Internal Medicine Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drscrimmager@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

470 Malcolm X Blvd
Apt 1P
New York, NY 10037
Phone (212) 249-1627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1316692866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LENOX AVE APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373012",
            "telephone_number": "212-249-1627",
            "fax_number": "212-249-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LENOX AVE APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373012",
            "telephone_number": "212-249-1627",
            "fax_number": "212-249-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON SCRIMMAGER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SCRIMMAGER",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-249-1627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435161",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drscrimmager@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office EMR email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Lenox Ave Apt 1P",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100373012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Upper Eastside Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.