Individual provider Active NPI

Jeffrey M Loria, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1912962069
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178028 Issued in NY
Practice address
111 E 88TH St Ste 1a
New York, NY 10128-1111
Phone
(212) 288-2278
Fax
(212) 517-4077
NPI assigned
Apr 20, 2006
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 178028 NY Primary

Addresses

Primary practice location

111 E 88TH St Ste 1a
New York, NY 10128-1111

Mailing address

111 E 88TH St Ste 1a
New York, NY 10128-1111
Phone (212) 288-2278

Other identifiers 6

IdentifierTypeStateIssuer
12519POtherNYHIP
2102999OtherNYAETNA - SPE
NS3207OtherNYOXFORD
20I331OtherNYEMPIRE BLUE CROSS
3C1224OtherNYHEALTHNET
485510OtherNYAETNA - PCP

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
I20110202000141 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 2567642986 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 E 88TH St
Suite 1a
New York, NY 10128-1111
Phone (212) 288-2278

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178028NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Medical Associates, P.C. CurrentSince Sep 20, 1999 Accepting new patients

Locations

111 E 88th St
Ste 1A
New York, NY 10128
Phone (212) 369-4250

178 E 85th St
Fl 4
New York, NY 10028
Phone (212) 288-2278

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3539/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.loria.1@3539.direct.athenahealth.com

Organizations & group practices 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1912962069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 88TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281111",
            "telephone_number": "212-288-2278",
            "fax_number": "212-517-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 88TH ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281111",
            "telephone_number": "212-288-2278",
            "fax_number": "212-517-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIA",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "178028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "12519P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - SPE",
            "identifier": "2102999",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS3207",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "20I331",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C1224",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PCP",
            "identifier": "485510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.