Organization Active NPI

Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1821036807
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LENOX HILL RADIOLOGY & MEDICAL IMAGING ASSOCIATES, PC
Practice address
61 E 77TH St
New York, NY 10021-1817
Phone
(212) 772-3111
NPI assigned
Jun 3, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Mr. John CruesNPI 1255333480
Title
Medical Director
Phone
(212) 772-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

61 E 77TH St
New York, NY 10021-1817

Mailing address

61 E 77TH St
New York, NY 10021-1817
Phone (212) 772-3111

Other identifiers 2

IdentifierTypeStateIssuer
03369660MedicaidNY
G100291973OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, DC, NJ, MD, FL, DE, CA, SC, CO, CT, TN, MA, TX, IL, NC, AZ, PR, IN, MI, VA, NM, WI, GA, OH, ID, NV, OR, MO, WA30 enrollments

Enrollment records 30

Enrollment IDStateProvider typePAC IDDetails
O20040402000403 NY Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 294 practitioners
O20180125000398 PA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 6 practitioners
Practice locations: Chadds Ford, PA; Allentown, PA; Villanova, PA; Pittsburgh, PA; Mechanicsburg, PA; Garnet Valley, PA; Downingtown, PA; Landenberg, PA
O20180328002687 DC Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 6 practitioners
Practice locations: Alexandria, VA; Washington, DC; Silver Spring, MD; MC Lean, VA; Bethesda, MD; Arlington, VA; Laurel, MD
O20180404000407 NJ Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 37 practitioners
Practice locations: Mendham, NJ; Millburn, NJ; Moorestown, NJ; Mountain Lakes, NJ; North Caldwell, NJ; Pine Brook, NJ; Scotch Plains, NJ; Short Hills, NJ…
O20181226001657 MD Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 7 practitioners
Practice locations: Clarksville, MD; Cockeysville, MD; Elkton, MD; Ellicott City, MD; Laurel, MD; Owings Mills, MD
O20190509000764 FL Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 29 practitioners
Practice locations: Port St Lucie, FL; Naples, FL; Orlando, FL; Parkland, FL; Pensacola Beach, FL; Plantation, FL; Saint Johns, FL; Sarasota, FL…
O20190612000432 DE Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 8 practitioners
Practice locations: Lewes, DE; Wilmington, DE; Rehoboth Beach, DE; Newark, DE; Middletown, DE
O20190927000492 CA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 15 practitioners
Practice locations: Temecula, CA; Yorba Linda, CA; San Marino, CA; San Diego, CA; Newport Coast, CA; Sacramento, CA; Corona del Mar, CA; Altadena, CA…
O20191105002611 SC Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Island, SC
O20200117000319 CO Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO; Colorado Springs, CO
O20200130000453 CT Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 4 practitioners
Practice locations: Weston, CT; Stamford, CT; Greenwich, CT; Ridgefield, CT; Bridgeport, CT
O20200730000660 TN Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 3 practitioners
Practice locations: Brentwood, TN; Nashville, TN; College Grove, TN
O20200818001354 MA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 5 practitioners
Practice locations: Brookline, MA; Southborough, MA; Sharon, MA; Newburyport, MA; Needham, MA; Lexington, MA
O20210728000257 TX Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX; Boerne, TX; Dallas, TX; Granbury, TX; Missouri City, TX
O20210805000476 IL Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 5 practitioners
Practice locations: Chicago, IL; Winnetka, IL; Oak Brook, IL; Lisle, IL; Hinsdale, IL; Burr Ridge, IL
O20211111001228 NC Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 4 practitioners
Practice locations: Durham, NC; Supply, NC; Norwood, NC; Holly Springs, NC; Bald Head Island, NC
O20220829001184 AZ Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ; Tucson, AZ; Phoenix, AZ
O20221104000004 PR Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR; Humacao, PR; Dorado, PR
O20230320002449 IN Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 2 practitioners
Practice locations: Carmel, IN; Zionsville, IN
O20230322002366 MI Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 3 practitioners
Practice locations: Ann Arbor, MI
O20230601002436 VA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Allen, VA; Spotsylvania, VA
O20241113001133 NM Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM
O20241203001071 WI Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Whitefish Bay, WI
O20250107000086 GA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Simons Island, GA; Suwanee, GA
O20250128001993 OH Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Loveland, OH
O20250327003670 ID Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 3 practitioners
Practice locations: Boise, ID; Eagle, ID
O20250502000798 NV Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20251028000930 OR Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR
O20251125002251 MO Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkwood, MO
O20251203002906 WA Part B Supplier - Clinic/Group Practice 2264424712 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations (25 of 39)

837 5th Ave S
Naples, FL 34102

16925 York Rd
#C203
Monkton, MD 21111

375 E Main St
Ste 12
Bay Shore, NY 11706
Phone (631) 665-2261

21302 Northern Blvd
Bayside, NY 11361
Phone (718) 544-5151

1200 Waters Pl
Rm M108
Bronx, NY 10461
Phone (718) 931-2300

1250 Waters Pl
Fl 9
Bronx, NY 10461

2016 Bronxdale Ave
Ste 102
Bronx, NY 10462
Phone (718) 960-9032

350 E Fordham Rd
Bronx, NY 10458

1128 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 732-0222

2095 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 338-6868

2215 79th St
Brooklyn, NY 11214
Phone (718) 222-3000

2475 Ralph Ave
Brooklyn, NY 11234
Phone (718) 444-3777

3245 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 615-3777

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

240 Patchogue Yaphank Rd
Ste 2
East Patchogue, NY 11772
Phone (516) 758-4909

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

375 W Sunrise Hwy
Freeport, NY 11520
Phone (516) 544-5003

1137 Broadway
Hewlett, NY 11557
Phone (516) 569-8885

8002 Kew Gardens Rd
#L1
Kew Gardens, NY 11415
Phone (718) 544-5151

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

4160 Merrick Rd
Massapequa, NY 11758
Phone (516) 541-9000

2012 Sunrise Hwy
Merrick, NY 11566
Phone (516) 868-9300

505 State Route 208
Ste 14
Monroe, NY 10950
Phone (845) 565-3664

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

130 W 79th St
New York, NY 10024
Phone (212) 496-7300

Practitioners & affiliated clinicians

Practitioners 494

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 494

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1821036807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211817",
            "telephone_number": "212-772-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211817",
            "telephone_number": "212-772-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX HILL RADIOLOGY & MEDICAL IMAGING ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "CRUES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-772-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03369660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G100291973",
            "state": null
        }
    ],
    "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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.