Individual provider Active NPI

Patrick G. Northup, MD

  • Transplant Hepatology Physician
  • New York, NY
National Provider Identifier
1821167453
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
315458 Issued in NY
Practice address
317 E 34TH St FL 8
New York, NY 10016-4910
Phone
(212) 263-8134
Fax
(212) 263-8157
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA11514400 NJ
Gastroenterology Physician 207RG0100X 315458 NY
Transplant Hepatology Physician 207RT0003X 25MA11514400 NJ
Transplant Hepatology Physician 207RT0003X 315458 NY Primary

Addresses

Primary practice location

317 E 34TH St FL 8
New York, NY 10016-4910

Mailing address

14 Wall St FL 9
New York, NY 10005-2178

Other practice location 1

33 Overlook Rd Ste 201
Summit, NJ 07901-3562
Phone (908) 522-5040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pnorthup6625@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050811000605 VA Practitioner - Gastroenterology 2163451915 Reassigns benefits to 1 organization
I20220429001956 NY Practitioner - GastroenterologyPractitioner - Hematopoietic Cell Transplantation and Cellular Therapy 2163451915 Reassigns benefits to 2 organizations
I20220922004021 NJ Practitioner - Gastroenterology 2163451915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

33 Overlook Rd
Summit, NJ 07901-3570
Phone (908) 522-5040

403 E 34TH St
New York, NY 10016-4972
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 1, 2005 Accepting new patients
New York University CurrentSince Apr 1, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 30, 2022 Accepting new patients
New York University Gastroenterology CurrentSince Apr 1, 2022 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

33 Overlook Rd
Ste 201
Summit, NJ 07901
Phone (908) 522-4555

186 Joralemon St
Fl 8
Brooklyn Heights, NY 11201
Phone (718) 596-5050

317 E 34th St
Fl 8
New York, NY 10016
Phone (212) 263-8134

403 E 34th St
New York, NY 10016
Phone (212) 263-8134

403 E 34th St
Fl 2
New York, NY 10016
Phone (212) 263-8134

530 1st Ave
Fl 3
New York, NY 10016
Phone (212) 263-0358

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

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241

1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

Networks

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

Interoperability endpoints

  • Direct secure messaging: pnorthup494620@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1821167453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALL ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 34TH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164910",
            "telephone_number": "212-263-8134",
            "fax_number": "212-263-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Overlook Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013562",
            "country_code": "US",
            "telephone_number": "908-522-5040",
            "fax_number": "908-522-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHUP",
        "first_name": "PATRICK",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11514400",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "315458",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NJ",
            "license": "25MA11514400",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NY",
            "license": "315458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pnorthup6625@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1300 Jefferson Park Ave",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229033363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.