ST LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1134211717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134211717 |
| Entity Type | Organization |
| Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Other Organization Name | EMERGENCY MEDICINE ASSOCIATES OF SLR |
| Practice Address |
1000 10th Ave New York NY 10019-1147 |
| Mailing Address |
407 Airport Executive Park Nanuet NY 10954-5288 |
| Practice Telephone | 2125236745 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DAN WIENER (GROUP DIRECTOR) |
| Authorized Official Telephone | 2125233981 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | NY | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | NY | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207P00000X | Emergency Medicine | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01523871 | 05 |
| Other Name | Type Code |
|---|---|
| Emergency Medicine Associates of SLR | Doing Business As Name - Organization |
| 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 |
| 1104982917 | St Lukes Roosevelt Hospital Center | Case Management | 1000 10th Ave, Roosevelt Division, New York, NY 10019 | 2006-12-28 |
| 1164582110 | St Lukes Roosevelt Hospital Center | Psychiatric Hospital | 411 W 114th St, New York, NY 10025-1710 | 2006-12-11 |
| Street Address |
1000 10TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1147 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1588184113 | Elizabeth Boctor | Emergency Medicine | 1901, 1st Avenue, Metropolitan Hospital Center, Dept of Emergency Medicine, New York, NY 10029 | 2017-06-24 |
| 1598129389 | Allan So | Emergency Medicine | 622 W 168th St Ste Vc260, New York, NY 10032-3720 | 2016-04-08 |
| 1255718268 | Anjuli Cogman | Emergency Medicine | 176 Broadway Apt 3c, New York, NY 10038-2516 | 2015-04-28 |
| 1679967525 | Varun Katdare | Emergency Medicine | 1 Gustave L. Place, New York, NY 10029 | 2015-03-27 |
| 1750775979 | Gregory Fernandez | Emergency Medicine | 1 Gustave L. Place, Box 1149, New York, NY 10029 | 2015-03-25 |
| 1053713115 | Krishna Kanth Potluri | Emergency Medicine | 1901 1st Ave # 2a31, New York, NY 10029-7404 | 2014-09-20 |
| 1144635764 | David Attaway | Emergency Medicine | 27 Orchard St Apt 11, New York, NY 10002-6176 | 2014-06-23 |
| 1558781054 | Victoria Ron | Emergency Medicine | 313 W 47th St, Apt 1-w, New York, NY 10036-2407 | 2014-04-23 |
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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.