ST LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1104982917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104982917 |
| Entity Type | Organization |
| Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Practice Address |
1000 10th Ave Roosevelt Division New York NY 10019 |
| Mailing Address |
160 Water St 24th Floor New York NY 10038-4922 |
| Practice Telephone | 2125234000 |
| Practice Fax Number | 2122563594 |
| Mailing Telephone | 2122563030 |
| Mailing Fax Number | 2122563594 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | MR. KENNETH BARRITT (SR VICE PRESIDENT) |
| Authorized Official Telephone | 6466054217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 273R00000X | Psychiatric Unit | 7002032H | NY | Hospital Units |
| N | 273Y00000X | Rehabilitation Unit | 7002032H | NY | Hospital Units |
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 7002032H | NY | Hospital Units |
| N | 341600000X | Ambulance | 7002032H | NY | Transportation Services |
| Y | 282N00000X | General Acute Care Hospital | 7002032H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01650173 | 05 | |
| NY | 00239247 | 05 | |
| NY | 00354967 | 05 | |
| NY | BLUE CROSS | 000559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285600106 | St Lukes Roosevelt Hospital Center | Medical Genetics | 1000 10th Ave Ste 10c, New York, NY 10019-1147 | 2006-02-28 |
| 1164407359 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 5-a, New York, NY 10019-8022 | 2005-12-09 |
| 1174508360 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | Primary 1000 10th Avenue, Ste 11a-61, New York, NY 10019-1147 | 2005-12-09 |
| 1992701205 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 9-b, New York, NY 10019-1104 | 2005-06-22 |
| 1235440561 | St Lukes Roosevelt Hospital Center | Pharmacy | 275 7th Ave Fl 12, New York, NY 10001-6995 | 2010-07-01 |
| 1417192311 | St Lukes Roosevelt Hospital Center | Rehabilitation Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2008-12-05 |
| 1821136979 | St Lukes Roosevelt Hospital Center | Pharmacy | 1000 10th Ave, 2t Clinic, New York, NY 10019-1147 | 2007-02-01 |
| 1063562551 | St Lukes Roosevelt Hospital Center | Pharmacy | 203 W 12th St, New York, NY 10011-7762 | 2007-01-10 |
| 1164582110 | St Lukes Roosevelt Hospital Center | Psychiatric Hospital | 411 W 114th St, New York, NY 10025-1710 | 2006-12-11 |
| 1134211717 | St Lukes Roosevelt Hospital Center | Internal Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2006-09-29 |
| Street Address |
1000 10TH AVE ROOSEVELT DIVISION |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219157 | Elizabeth Ames | Pathology | 1000 10th Ave, New York, NY 10019-1147 | 2005-07-20 |
| 1710588843 | Stephanie Jean Smith | Physical Medicine & Rehabilitation | 1000 10th Ave, New York, NY 10019-1147 | 2020-11-04 |
| 1609476357 | The St. Lukes Roosevelt Hospital Center | Clinic/Center | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-30 |
| 1629678917 | Neilkamal Mundi | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-27 |
| 1699374041 | Shabari Mangalore Shenoy | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-17 |
| 1134727407 | Marie Jasmin Theresia Akhlaghi | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-09 |
| 1811595119 | Jeeyune Bahk | Internal Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-09 |
| 1053918102 | Juan Francisco Vasquez Mendez | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-10-01 |
| 1891302766 | Mantej Singh Sehmbhi | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-09-25 |
| 1356957245 | Rohit Rajesh Nathani | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649727728 | Nyu Langone Medical Center | General Acute Care Hospital | 317e 34th St., Pediatric Neurosurgery, 10th Floor, New York, NY 10016 | 2016-09-06 |
| 1659723401 | Harlem | General Acute Care Hospital | 506 Lenox Ave Bldg 14-106, New York, NY 10037-1802 | 2016-07-05 |
| 1427411966 | Student, Health Care | General Acute Care Hospital | 178 E 7th St, Apt 3b, New York, NY 10009 | 2016-04-01 |
| 1912362237 | Lenox Hill Hospital | General Acute Care Hospital | 100 East 77th. Street, New York, NY 10075 | 2015-12-31 |
| 1831572049 | Ashley Losnedahl | General Acute Care Hospital | 821 Riverside Dr, Apt 1a, New York, NY 10032-6444 | 2015-07-07 |
| 1194112458 | Mount Sinai Hospital | General Acute Care Hospital | 1 Gustav L Levy Pl, New York, NY 10029-6574 | 2015-04-23 |
| 1679962849 | Aspca | General Acute Care Hospital | 424 E 92nd St, New York, NY 10128-6804 | 2015-01-12 |
| 1588067813 | Mount Sinai Beth Israel | General Acute Care Hospital | 317 E 17th St Ste 2f05, New York, NY 10003-3804 | 2014-10-01 |
| 1699176057 | Svetlana Rottier | General Acute Care Hospital | 628 E 20th St, Ap 3f, New York, NY 10009-1519 | 2014-09-04 |
| 1841608452 | Rachel Akin | General Acute Care Hospital | 424 W 51st St, #2, New York, NY 10019-6557 | 2014-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.