Individual provider Active NPI

Benjamin Lowell Metzger, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1588667133
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
233490 Issued in NY
Practice address
1317 3Rd Ave
Suite 5
New York, NY 10021-2995
Phone
(212) 570-1975
Fax
(212) 472-5133
NPI assigned
May 27, 2005
Last updated
Sep 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233490 NY
Nephrology Physician 207RN0300X 233490 NY Primary

Addresses

Primary practice location

1317 3Rd Ave
Suite 5
New York, NY 10021-2995

Mailing address

1317 3Rd Ave
Suite 5
New York, NY 10021-2995
Phone (212) 570-1975

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
I20050719001066 NY Practitioner - Internal MedicinePractitioner - Nephrology 4082641261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1317 3Rd Ave
FL 8
New York, NY 10021-2962
Phone (212) 434-6400

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233490NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Westchester Health Medical, P.C. Internal Medicine CurrentSince Jun 15, 2022 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Jun 15, 2022 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
East Side Medical and Diagnostics Services, PC Internal Medicine Past Accepting new patients
East Side Psychiatric Services, PC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Manhasset, NY 11030

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1317 3rd Ave
Fl 5
New York, NY 10021
Phone (212) 734-8811

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

90 E End Ave
New York, NY 10028
Phone (212) 636-8591

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: bmetzger24179@northwell.direct-ci.com

Organizations & group practices 7

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 11

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1588667133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "SUITE 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-570-1975",
            "fax_number": "212-472-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "address_2": "SUITE 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995",
            "telephone_number": "212-570-1975",
            "fax_number": "212-472-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "BENJAMIN",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233490",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "233490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.