NPIMap

Individual provider Active NPI

Lisa Minsky-Primus, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1508064205
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221427 Issued in NY
Practice address
1324 Lexington Ave
Suite 313
New York, NY 10128-1145
Phone
(646) 740-4463
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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 221427 NY Primary

Addresses

Primary practice location

1324 Lexington Ave
Suite 313
New York, NY 10128-1145

Mailing address

205 W 86TH St Apt 112
New York, NY 10024-3391
Phone (646) 265-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Past Accepting new patients
Empire State Medical Associates, P.C. Internal Medicine Past Accepting new patients
Montefiore Medical Center Internal Medicine Past Accepting new patients
Independence at Home - Physician House Calls for the Homebound, P.C. Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1508064205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 86TH ST APT 112",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243391",
            "telephone_number": "646-265-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LEXINGTON AVE",
            "address_2": "SUITE 313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281145",
            "telephone_number": "646-740-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSKY-PRIMUS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221427",
            "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 Sep 2, 2016; 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.