Active NPI
Jonathan Marc Latzman, M.D.
- Vascular & Interventional Radiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 288219-1
- Practice address
- 111 E 210TH St
Department of Radiology
Bronx, NY 10467-2401 - Phone
- (718) 920-5506
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 288219-1 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Department of Radiology
Bronx, NY 10467-2401
Mailing address
1976 Marcus Avenue
Suite C101
New Hyde Park, NY 11042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.9 of 100
- Quality
- 81.6
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288219-1 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiology Associates, LLP | Vascular & Interventional Radiology | Current | Accepting new patients |
| MSK Bergen | Vascular & Interventional Radiology | Current | Accepting new patients |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| MSK Monmouth | Vascular & Interventional Radiology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Vascular & Interventional Radiology | Current | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336
111 E 210th St
Bronx, NY 10467
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Fl 1
Manhasset, NY 11030
Phone (516) 562-2252
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
300 Community Dr
Plandome, NY 11030
1220 Hicksville Rd
Seaford, NY 11783
224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jlatzman30599@mskcc.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 and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1215978184
Vascular & Interventional Radiology
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
Vascular & Interventional Radiology
-
- Medical Oncology Physician
- Montvale, NJ
- NPI 1558814657
Vascular & Interventional Radiology
-
- Medical Oncology Physician
- Middletown, NJ
- NPI 1922459163
Vascular & Interventional Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1689960031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 MARCUS AVENUE",
"address_2": "SUITE C101",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATZMAN",
"first_name": "JONATHAN",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "288219-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.