ST. LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1508001405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508001405 |
| Entity Type | Organization |
| Organization Name | ST. LUKES ROOSEVELT HOSPITAL CENTER |
| Other Organization Name | PSYCHIATRIC UNIT |
| Practice Address |
1111 Amsterdam Avenue New York NY 10025-1716 |
| Mailing Address |
160 Water St Fl 24 New York NY 10038-4922 |
| Practice Telephone | 2122563027 |
| Practice Fax Number | 2122563595 |
| Mailing Telephone | 2122563296 |
| Mailing Fax Number | 2122563594 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | KENNETH BARRITT (VICE PRESIDENT) |
| Authorized Official Telephone | 6466054217 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 7002032H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000559 | 01 |
| NY | 02239247 | 05 |
| Other Name | Type Code |
|---|---|
| Psychiatric Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891900775 | St. Lukes Roosevelt Hospital Center | General Acute Care Hospital | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2007-05-13 |
| 1356489538 | St. Lukes Roosevelt Hospital Center | Internal Medicine | 200 W 57th St, Suiet 1201, New York, NY 10019-3211 | 2007-02-01 |
| Street Address |
1111 AMSTERDAM AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740216670 | Madhuri Kirpekar | Radiology | 1111 Amsterdam Avenue, New York, NY 10025 | 2006-06-23 |
| 1780188201 | Olga Esther Paniagua | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, Dept. of Anesthesiology, New York, NY 10025-1716 | 2018-03-20 |
| 1639602055 | David Jeffery Smith | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, New York, NY 10025 | 2017-04-04 |
| 1124497912 | Icahn School of Medicine At Mount Sinai | Surgery | 1111 Amsterdam Avenue, New York, NY 10002 | 2015-09-22 |
| 1871962738 | Icahn School of Medicine At Mount Sinai | Pediatrics | 1111 Amsterdam Avenue, New York, NY 10025 | 2015-09-22 |
| 1477958007 | St Lukes-roosevelt Hospital Center | Dermatology | 1111 Amsterdam Avenue, New York, NY 10025 | 2014-10-24 |
| 1740549229 | Scott Warhit | Psychiatry & Neurology | 1111 Amsterdam Avenue, Department of Psychiatry, New York, NY 10025 | 2012-05-03 |
| 1649570151 | Rishi Malhan | Internal Medicine | 1111 Amsterdam Avenue, New York, NY 10025-1251 | 2010-10-31 |
| 1629225479 | Christopher Michael Reverte | Emergency Medicine | 1111 Amsterdam Avenue, New York, NY 10025 | 2008-08-23 |
| 1598962268 | Claire Marie Uebbing | Emergency Medicine | 1111 Amsterdam Avenue, St. Luke's- Roosevelt Hospital Center-emergency Deptmar, New York, NY 10025 | 2007-06-27 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
| 1811229206 | Long Island College Hospital | Psychiatric Unit | 444 E 57th St, New York, NY 10022-3522 | 2010-02-10 |
| 1063657963 | Beth Israel Medical Center | Psychiatric Unit | First Avenue & 16th Street, New York, NY 10003 | 2008-12-05 |
| 1982081170 | Columbia University Medical Center | Psychiatric Unit | 635 W 165th St, Floor 6, New York, NY 10032-3724 | 2015-04-27 |
| 1578950838 | Columbia University Medical Center - New York Presbyterian Hospital | Psychiatric Unit | 635 W 165th St Fl 6, New York, NY 10032-3724 | 2015-04-23 |
| 1447508668 | Bellevue Hospital Center | Psychiatric Unit | 462 1st Ave, New York, NY 10016-9196 | 2012-08-20 |
| 1366721672 | Mount Sinai Medical Center | Psychiatric Unit | 1 Gustave L Levy Pl, New York, NY 10029-6574 | 2011-08-04 |
| 1891083879 | Marcella Kelson | Psychiatric Unit | 1 Gustave L Levy Pl, Box 1228, New York, NY 10029-6500 | 2011-07-12 |
| 1033401476 | New York City Health & Hospitals Coorporation | Psychiatric Unit | 1901 1st Ave, Room 6m28, New York, NY 10029-7404 | 2011-05-04 |
| 1467616219 | North General Hospital | Psychiatric Unit | 1879 Madison Ave, New York, NY 10035-2709 | 2008-07-10 |
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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.