Eastside Medical Practice, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

184070 Issued in NY

Legal business name

EASTSIDE MEDICAL PRACTICE, P.C.

Practice address

20 E 46TH St
RM 200
New York, NY 10017-2417

Phone

(212) 481-3600

Fax

(212) 481-3336

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Lutsky, D.O.NPI 1477530582

Title

Solo Practioner

Phone

(212) 481-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric N Lutsky, D.O.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1477530582
  Medicare reassignment Care Compare group NPD Authorized official
• Mara Pulcheri, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1558677716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1881715779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST",
            "address_2": "RM 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172417",
            "telephone_number": "212-481-3600",
            "fax_number": "212-481-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST",
            "address_2": "RM 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172417",
            "telephone_number": "212-481-3600",
            "fax_number": "212-481-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "LUTSKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLO PRACTIONER",
        "authorized_official_telephone_number": "212-481-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Gynecology Services
• Eastside Kinesthetic Center
• Eastside Medical Associates, P.C.
• Eastside Medical Care PLLC
• Eastside Medical Office , PC
• Eastside Medical Radiology PLLC
• Eastside Optometric, P.C.
• Eastside Oral Surgery
• Eastside Orthotics & Prosthetics Inc
• Eastside Orthotics and Prosthetics, Inc.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.