Organization Active NPI

14 Street Medical, PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1386091486
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
14 STREET MEDICAL, PC
Practice address
332 E 14TH St
New York, NY 10003-4243
Phone
(212) 481-3333
Fax
(212) 253-4242
NPI assigned
May 18, 2016
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Dr. Rajat E Lamigton, MD
Title
President Ceo
Phone
(212) 481-3333

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Interventional Cardiology Physician 207RI0011X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X
Neurology Physician 2084N0400X
Clinical Neurophysiology Physician 2084N0600X
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X
Vascular Neurology Physician 2084V0102X
Body Imaging Physician 2085B0100X
Neurology Physical Therapist 2251N0400X
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X
Sleep Medicine (Internal Medicine) Physician 207RS0012X
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

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

Mailing address

174 Nassau St
Suite 3900
Princeton, NJ 08542-7005
Phone (212) 481-3333

Other practice location 1

500 E 14th St
New York, NY 10009-3336
Phone (212) 481-3333

Other practice location 2

110 W 14th St
New York, NY 10011-7303
Phone (212) 481-3333

Other practice location 3

912 Columbus Ave
New York, NY 10025-4040
Phone (212) 481-3333

Other identifiers 1

IdentifierTypeStateIssuer
04602508MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902000585 NY Part B Supplier - Clinic/Group Practice 6204122088 Receives reassigned benefits from 45 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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

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

500 E 14th St
New York, NY 10009
Phone (212) 481-3333

500 E 14th St
Fl 1
New York, NY 10009
Phone (212) 481-3333

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1386091486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NASSAU ST",
            "address_2": "SUITE 3900",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085427005",
            "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",
            "fax_number": "212-253-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100093336",
            "country_code": "US",
            "telephone_number": "212-481-3333",
            "fax_number": "212-253-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117303",
            "country_code": "US",
            "telephone_number": "212-481-3333",
            "fax_number": "212-253-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100254040",
            "country_code": "US",
            "telephone_number": "212-481-3333",
            "fax_number": "212-253-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "14 STREET MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "LAMIGTON",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "212-481-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04602508",
            "state": "NY"
        }
    ],
    "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 May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.