Individual provider Active NPI

Lawrence Baruch, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1841268802
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
177261 Issued in NY
Practice address
451 Park Avenue South, 2ND Floor
Northwell Health Concorde Medical Group
New York, NY 10016-7376
Phone
(212) 889-5640
Fax
(212) 684-4775
NPI assigned
Mar 8, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 177261 NY Primary

Addresses

Primary practice location

451 Park Avenue South, 2ND Floor
Northwell Health Concorde Medical Group
New York, NY 10016-7376

Mailing address

111 E 85TH St
12D
New York, NY 10028-0958
Phone (917) 833-5636

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
I20070831000531 NY Practitioner - Cardiovascular Disease (Cardiology) 7517050826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marcus Avenue Medical PCGroup PAC ID 5698107258, 43 clinicians

Practice addresses (Care Compare)

232 E 30TH St
New York, NY 10016-8202
Phone (212) 447-1609

451 Park Ave S
New York, NY 10016-7390
Phone (212) 434-4775

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Avenue Medical PC Cardiovascular Disease CurrentSince Oct 28, 2024 Accepting new patients
Sar Medical Care PLLC CurrentSince Jul 10, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Mount Sinai School of Medicine Cardiovascular Disease Past Accepting new patients

Locations

150 E 42nd St
#10
New York, NY 10017

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

451 Park Ave S
Fl 2
New York, NY 10016
Phone (212) 779-0202

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
Fl 10
New York, NY 10029
Phone (212) 241-2125

Interoperability endpoints

  • Direct secure messaging: lbaruch64593@northwell.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1841268802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 85TH ST",
            "address_2": "12D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280958",
            "telephone_number": "917-833-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PARK AVENUE SOUTH, 2ND FLOOR",
            "address_2": "NORTHWELL HEALTH CONCORDE MEDICAL GROUP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167376",
            "telephone_number": "212-889-5640",
            "fax_number": "212-684-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "177261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.