Individual provider Active NPI

Javier Alexander Lira, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1407505712
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
337519 Issued in NY
Practice address
525 W 36TH St FL 6
New York, NY 10018-1100
Phone
(212) 889-5265
Fax
(646) 638-1440
NPI assigned
Mar 22, 2022
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 337519 NY Primary

Addresses

Primary practice location

525 W 36TH St FL 6
New York, NY 10018-1100

Mailing address

525 W 36TH St FL 6
New York, NY 10018-1100
Phone (212) 889-5265

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
I20250820004092 NY Practitioner - Internal Medicine 9436659919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcus Avenue Medical PCGroup PAC ID 5698107258, 43 clinicians

Practice addresses (Care Compare)

525 W 36TH St
FL 6
New York, NY 10018-1100
Phone (212) 352-0549

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337519NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Avenue Medical PC Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
North Shore-Lij Medical PC Internal Medicine PastSince Jun 29, 2025 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

525 W 36th St
Fl 6
New York, NY 10018
Phone (212) 889-5265

Interoperability endpoints

  • Direct secure messaging: jlira122413@mskcc.direct-ci.com
  • Direct secure messaging: jlira66605@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1407505712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 36TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181100",
            "telephone_number": "212-889-5265",
            "fax_number": "646-638-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 36TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181100",
            "telephone_number": "212-889-5265",
            "fax_number": "646-638-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA",
        "first_name": "JAVIER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "337519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.