OrganizationActive
Photon Medical Group
NPI 1972059749 · Specialist · New York, NY
Photon Medical Group is a Specialist organization in New York, NY (NPI 1972059749).
Provider details
- NPI number
- 1972059749
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Alexis Young, Medical Director(646) 535-4180
- License
- 249723 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 Columbus Avenue, 21c
New York, NY 10025-5169
Phone: (646) 535-4180
Street-level locationGet directions
Mailing address
808 Columbus Avenue, 21c
New York, NY 10025-5169
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2016-08-31
Frequently asked questions
- What is Photon Medical Group's NPI number?
- Photon Medical Group's National Provider Identifier (NPI) is 1972059749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Photon Medical Group?
- Photon Medical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Photon Medical Group located?
- Photon Medical Group's practice location on file with NPPES is 808 Columbus Avenue, 21c, New York, NY 10025-5169.
- What is Photon Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Photon Medical Group is (646) 535-4180.
- Who is the authorized official for Photon Medical Group?
- The authorized official listed on Photon Medical Group's NPPES record is Alexis Young, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Photon Medical Group's NPI active?
- Yes — Photon Medical Group's NPI (1972059749) is active in the NPPES registry as of the last update on 2016-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.