THE ST. LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1609476357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609476357 |
| Entity Type | Organization |
| Organization Name | THE ST. LUKES ROOSEVELT HOSPITAL CENTER |
| Practice Address |
1000 10th Ave New York NY 10019-1147 |
| Mailing Address |
160 Water St Fl 24 New York NY 10038-4922 |
| Practice Telephone | 2122563296 |
| Mailing Telephone | 2122563296 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | LUKA SURAMELI (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 2125235639 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI ST LUKES HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OTP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013418698 | The St. Lukes Roosevelt Hospital Center | Case Management | 320 E 94th St, New York, NY 10128-5604 | 2018-02-28 |
| 1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
| 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 |
| 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 |
| 1699380873 | Cristina Olivo Freites | Student in an Organized Health Care Education/Training Program | 1000 10th Ave, New York, NY 10019-1147 | 2020-09-14 |
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| 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 | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770951204 | Beth Israel Medical Center | Clinic/Center | 160 Water St Fl 24, New York, NY 10038-4922 | 2015-09-15 |
| 1427125632 | Ses Operating Corp | Clinic/Center | 2367 -69 Second Ave, New York, NY 10035-3108 | 2006-11-30 |
| 1396843967 | Gramaercy Park Medical Group | Clinic/Center | 253 3rd Ave # 55, New York, NY 10010-7401 | 2006-09-20 |
| 1679050116 | Nancy Arroyo | Clinic/Center | 311 W 35th St, New York, NY 10001-1701 | 2018-07-27 |
| 1780047704 | West Midtown Medical | Clinic/Center | 311 W 35th St, 2nd Floor, New York, NY 10001-1701 | 2016-03-29 |
| 1356714885 | Felicia Robinson | Clinic/Center | 311 W 35th St, 2nd, New York, NY 10001-1701 | 2015-11-05 |
| 1073986501 | Melody Madero | Clinic/Center | 311 W 35th St, 2nd Floor, New York, NY 10001-1701 | 2015-11-05 |
| 1154767010 | Harlem East Life Plan | Clinic/Center | 2369 2nd Ave, New York, NY 10035-3108 | 2013-05-20 |
| 1366789158 | Lafayette Medical Approach LLC | Clinic/Center | 233 Lafayette St, Ground Floor, New York, NY 10012-4051 | 2013-01-14 |
| 1427348804 | Massimo Degiarde, Mdpc | Clinic/Center | 233 Lafayette St, New York, NY 10012-4051 | 2011-04-19 |
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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.