NEW YORK GRACIE SQUARE HOSPITAL INC (NPI# 1215911946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215911946 |
| Entity Type | Organization |
| Organization Name | NEW YORK GRACIE SQUARE HOSPITAL INC |
| Practice Address |
420 E 76th St New York NY 10021-3104 |
| Mailing Address |
420 E 76th St Attn: Jerome B Vogl - I.s. Department New York NY 10021-3104 |
| Practice Telephone | 2129884400 |
| Mailing Telephone | 2124345532 |
| Mailing Fax Number | 2124345479 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MR. FRANK J BRUNO (CHIEF EXECUTIVE OFFICER / PRESIDENT) |
| Authorized Official Telephone | 2124345314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | A713070 | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00273047 | 05 |
| Street Address |
420 E 76TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928133 | Michelle D Dagostino | Nurse Practitioner | 420 E 76th St, New York, NY 10021-3396 | 2020-10-03 |
| 1720609415 | Andrea Leigh Mcdade | Registered Nurse | 420 E 76th St, New York, NY 10021-3396 | 2020-05-04 |
| 1467014340 | Lorena N Conz | Nurse Practitioner | 420 E 76th St, New York, NY 10021-3396 | 2019-07-01 |
| 1811416985 | Allison Moskowitz | Social Worker | 420 E 76th St, New York, NY 10021-3396 | 2017-09-11 |
| 1093261398 | Anthony M Dedonatis | Nurse Practitioner | 420 E 76th St, New York, NY 10021-3396 | 2016-08-28 |
| 1245682269 | Kimberly Fiedler Gevint | Social Worker | 420 E 76th St, New York, NY 10021-3396 | 2016-07-02 |
| 1487019634 | John Spencer | Nurse Practitioner | 420 E 76th St, New York, NY 10021-3396 | 2015-12-15 |
| 1619309929 | Michael Bernard Klein | Psychologist | 420 E 76th St, New York, NY 10021-3396 | 2013-08-08 |
| 1982851952 | John M. O'leary | Anesthesiology | 420 E 76th St, Gracie Square Hospital, New York, NY 10021-3104 | 2008-08-21 |
| 1669628749 | Yorkville Psychiatry Pllc | Internal Medicine | 420 E 76th St, New York, NY 10021-3104 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487056792 | John L. Bolling, M.d. | Psychiatric Hospital | 203 W 138th St, New York, NY 10030-2102 | 2014-09-17 |
| 1114334000 | Norwalk Hospital | Psychiatric Hospital | 61 W 85th St, Apartment 2b, New York, NY 10024-4120 | 2014-07-13 |
| 1740599570 | New York State Psychiatric Institute | Psychiatric Hospital | 504 W 136th St, Apt 6-c, New York, NY 10031-7908 | 2010-09-28 |
| 1689800120 | Mpc | Psychiatric Hospital | 600 East 125 St., Wards Island Complex, New York, NY 10035-6000 | 2009-06-10 |
| 1669620670 | Cesar Carrasco | Psychiatric Hospital | 635 W 165th St Fl 6, New York, NY 10032-3724 | 2008-09-03 |
| 1194861179 | Lincoln Medical Mental Health Center | Psychiatric Hospital | 234 E 149th St 10-c, Bronx New York, New York, NY 10451 | 2007-01-29 |
| 1982756227 | Harlem Hospital Center | Psychiatric Hospital | 1751 2nd Ave, 28t, New York, NY 10128-5363 | 2007-01-17 |
| 1164573002 | Frances R Levin | Psychiatric Hospital | 1051 Riverside Dr Rm 3625, New York, NY 10032-1007 | 2007-01-16 |
| 1245647577 | Swathi Moylan | Psychiatric Hospital | 1901 1st Ave, 4m14, New York, NY 10029-7404 | 2014-07-18 |
| 1225441710 | St Lukes Hospital | Psychiatric Hospital | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
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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.