Individual provider Active NPI

Ajax Elis George, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1790749885
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
104730 Issued in NY
Practice address
560 1St Ave
New York, NY 10016-6402
Phone
(212) 263-5219
Fax
(212) 263-3838
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 104730 NY Primary

Addresses

Primary practice location

560 1St Ave
New York, NY 10016-6402

Mailing address

870 United Nations PLZ
23C
New York, NY 10017-1807
Phone (212) 263-5219

Other identifiers 1

IdentifierTypeStateIssuer
00599046MedicaidNY

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
I20061013000022 NY Practitioner - Diagnostic Radiology 8224027461 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical at North Suffolk, PLLCGroup PAC ID 0345618088, 19 clinicians
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

5 Medical Dr
Port Jefferson Station, NY 11776-1601
Phone (631) 364-9119

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone (718) 970-6600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stand-Up MRI of Deer Park, P.C. Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
True North Medical Group PC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
True North Medical Group PC CurrentSince Apr 1, 2020 Accepting new patients
Stand-Up MRI of Brooklyn, P.C. Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
Damadian MRI in Canarsie, P.C. Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
Stand-Up MRI of Melville, PC Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
Stand-Up MRI of Staten Island, PC Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
True North Medical at North Suffolk PLLC CurrentSince Aug 4, 2024 Accepting new patients
Stand-Up MRI of Bensonhurst, PC Diagnostic Radiology CurrentSince Jun 26, 2021 Accepting new patients
New York University Past Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Past Accepting new patients
New York Radiologic Consult Services Diagnostic Radiology Past Accepting new patients
Lucia'S Pharmacy Inc. PastSince Nov 1, 2019 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Nyumc Radiology Associates Diagnostic Radiology Past Accepting new patients
Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa Past Accepting new patients

Locations

2035 Ralph Ave
Ste A5
Brooklyn, NY 11234
Phone (718) 209-1070

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

110 Marcus Dr
Melville, NY 11747
Phone (631) 390-1793

560 1st Ave
New York, NY 10016
Phone (212) 263-5362

227 Madison St
New York, NY 10002
Phone (212) 238-7000

560 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-5212

660 1st Ave
New York, NY 10016
Phone (212) 263-0001

530 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-7216

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1118 Deer Park Ave
North Babylon, NY 11703
Phone (631) 243-3222

1010 Route 112
Ste 300
Port Jefferson Station, NY 11776
Phone (631) 364-9119

5 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 364-9119

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

2090 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-0616

311 North St
Ste G-10
White Plains, NY 10605
Phone (914) 946-9400

Networks

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

Interoperability endpoints

  • Direct secure messaging: ageorge68544@northwell.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1790749885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 UNITED NATIONS PLZ",
            "address_2": "23C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171807",
            "telephone_number": "212-263-5219",
            "fax_number": "212-588-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5219",
            "fax_number": "212-263-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "AJAX",
        "middle_name": "ELIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "104730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00599046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.