Active NPI
Upper Eastside Internal Medicine
- Primary Care Clinic/Center
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 184535
- Legal business name
- UPPER EASTSIDE INTERNAL MEDICINE
- Practice address
- 210 E 86TH St
Suite 202a
New York, NY 10028-3003 - Phone
- (212) 249-1627
- Fax
- (212) 249-1640
- NPI assigned
- Apr 27, 2016
- Last updated
- Apr 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leon Scrimmager, MD
- Title
- Owner
- Phone
- (212) 249-1627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 184535 | NY | Primary |
Addresses
Primary practice location
210 E 86TH St
Suite 202a
New York, NY 10028-3003
Mailing address
210 E 86TH St
Suite 202a
New York, NY 10028-3003
Phone (212) 249-1627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01435161 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Upper Eastside Internal Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Stony Point, NY
- NPI 1396046843
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1215020474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461715200000",
"number": "1821443805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 86TH ST",
"address_2": "SUITE 202A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283003",
"telephone_number": "212-249-1627",
"fax_number": "212-249-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 86TH ST",
"address_2": "SUITE 202A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283003",
"telephone_number": "212-249-1627",
"fax_number": "212-249-1640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER EASTSIDE INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A",
"authorized_official_last_name": "SCRIMMAGER",
"authorized_official_first_name": "LEON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-249-1627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "184535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01435161",
"state": "NY"
}
],
"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 Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.