Justin Conway, MD

Key facts

NPI

1437416807

Entity type

Individual (NPI type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician 207QS0010X

License

284699 (NY)

Practice address

1200 Route 300
Newburgh, NY 12550-5003

Phone

(845) 703-6999

Fax

(845) 703-6297

NPI assigned

Apr 23, 2012

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Crystal Run Healthcare Physicians LLP General Practice Physician · Middletown, NY · NPI 1952376410
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · NY
• Optum Medical Care, P.C. Cardiovascular Disease Physician · Mount Kisco, NY · NPI 1982643003
  Medicare reassignment NPD NY
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Middletown, NY · NPI 1023326642
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Newburgh, NY · NPI 1053780403
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Rock Hill, NY · NPI 1093932477
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Middletown, NY · NPI 1649498734
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Monroe, NY · NPI 1760931844
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · West Nyack, NY · NPI 1801248174
  Care Compare group
• Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies · Monroe, NY · NPI 1558857425
  NPD
• Optum Medical Care, P.C. Durable Medical Equipment & Medical Supplies · New Hyde Park, NY · NPI 1053190595
  NPD

Hospital & facility affiliations 1

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

• St. Luke'S Cornwall Hospital General Acute Care Hospital · Newburgh, NY · NPI 1003923434
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice
Also: Sports Medicine

Education

University of Michigan Medical School, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Run Healthcare Physicians LLP (366 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore St Luke'S Cornwall Hospital · Newburgh, NY · CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score

85.01 of 100 (group)

Quality

73.63

Promoting interoperability

100

Improvement activities

40

Cost

72.39

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles (4 of 8)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: jconway145002@direct.optum.com

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2020.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1437416807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505003",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284699",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "284699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04495098",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.conwaymd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Route 300",
            "city": "Newburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125505003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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