Healthcare Provider Details

I. General information

NPI: 1366170094
Provider Name (Legal Business Name): LENOX HILL MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

993 PARK AVE
NEW YORK NY
10028-0921
US

IV. Provider business mailing address

993 PARK AVE
NEW YORK NY
10028-0921
US

V. Phone/Fax

Practice location:
  • Phone: 212-371-8460
  • Fax: 212-537-7303
Mailing address:
  • Phone: 212-371-8460
  • Fax: 212-537-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARAN JOHAR
Title or Position: PRESIDENT
Credential: MD
Phone: 212-371-8460