Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Larson, MD

Individual provider Diagnostic Radiology Physician · NPI 1639516503

Dr. Jonathan Larson, MD is a Diagnostic Radiology in New York, New York. Graduated from Tulane University School of Medicine in 2013, 13 years ago. Practices with Fpa Hospital Based, a 422-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
13
Trained at
Tulane University School of Medicine
Licensed in
CO, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl Dept OF
New York, NY 10029
Phone: (860) 214-4650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1501 E 3rd St, Delta, CO 81416-2815 — (970) 874-7681
  • 1000 10th Ave, New York, NY 10019-1147 — (860) 214-4650

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 295418-1 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DR.0076722 (CO)

Record details

NPI number1639516503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2013
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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