LUTHERAN MEDICAL CENTER


Address: 2011 Kenneth Rd, Merrick, NY 11566-5508
Phone: 5167103511

LUTHERAN MEDICAL CENTER (NPI# 1851655856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851655856
Entity Type Organization
Organization Name LUTHERAN MEDICAL CENTER
Practice Address 2011 Kenneth Rd
Merrick
NY 11566-5508
Practice Telephone 5167103511
Mailing Telephone 5167103511
Enumeration Date 2012-06-25
Last Update Date 2012-06-25
Authorized Official Name DR. DENNIS J RUDITSER (RESIDENT PHYSICIAN)
Authorized Official Telephone 5167103511
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679988380 Lutheran Medical Center Health Maintenance Organization 305 Dominick Pont, Knoxville, TN 37934 2014-06-23
1497043673 Lutheran Medical Center General Acute Care Hospital 150, 55th Street, Lutheran Medical Center-department of Family Medicine, Brooklyn, NY 11220 2011-07-21
1801126099 Lutheran Medical Center General Acute Care Hospital 2409 E 23rd St, Brooklyn, NY 11235-2510 2010-01-11
1992812317 Lutheran Medical Center General Acute Care Hospital 3414 Church Ave, Brooklyn, NY 11203-2714 2006-08-23
1619912052 Lutheran Medical Center Clinic/Center 812 54th St, Brooklyn, NY 11220-3209 2006-06-19
1649527516 Lutheran Medical Center Dentist 150 55th St, Dental Department, Brooklyn, NY 11220-2508 2012-08-10
1194002121 Lutheran Medical Center General Acute Care Hospital 150 55th St, Brooklyn, NY 11220-2553 2011-11-04
1154644292 Lutheran Medical Center Clinic/Center 150 55th St, Brooklyn, NY 11220-2559 2010-03-03
1558436360 Lutheran Medical Center Chronic Disease Hospital 150 55th St, Brooklyn, NY 11220-2559 2006-11-21
1023182102 Lutheran Medical Center Chronic Disease Hospital 514 49th St, Brooklyn, NY 11220-2010 2006-11-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LUTHERAN MEDICAL CENTER FOUNDATION 8300 W 38th Ave, Wheat Ridge, CO 80033-6005
Colorado Business Entities Lutheran Medical Center Foundation 8300 West 38th Avenue, Wheat Ridge, CO 80033

Office Location

Street Address 2011 KENNETH RD
City MERRICK
State NY
Zip Code 11566-5508

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538722657 Francis Gregory Coffey Psychologist 124 N Merrick Ave, Merrick, NY 11566 2019-04-15
1912499401 Icahn School of Medicine At Mount Sinai Registered Nurse 2209 Merrick Rd Ste 101, Merrick, NY 11566 2018-05-31
1013436732 Elisabeth Chandlin Walker Speech-Language Pathologist 2825 Bay Dr, Merrick, NY 11566 2017-09-13
1720509938 Gloria Lebeaux Social Worker 1860 Nassau Street, Merrick, NY 11566 2017-06-28
1104350941 Sari Klar Counselor 1991 Norshon Rd, Merrick, NY 11566 2017-04-19
1447790563 Yash Shah Student in an Organized Health Care Education/Training Program 1068 Susan Ct, Merrick, NY 11566 2017-03-08
1457700320 Rachel Zimmern Specialist 16 Arbor Ln, Merrick, NY 11566 2016-06-10
1326435785 Christine Cione Counselor 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 2015-04-22
1407269590 Yolanda Stahl Dpm PC Podiatrist 1457 Merrick Ave, Merrick, NY 11566 2014-06-05
1629496575 Sara D Lobato Registered Nurse 1970 Brook Park Dr, Merrick, NY 11566 2014-03-28
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225507114 University Hospital At Stony Brook General Acute Care Hospital 740 County Road 39, Southampton, NY 11968-5090 2018-11-20
1184108144 Samaritan Hospital of Troy, New York General Acute Care Hospital 500 Federal St Ste 602, Troy, NY 12180-2832 2018-09-17
1225559149 Zulfa Omer General Acute Care Hospital 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 2017-06-30
1992230171 Ny Presbyterian-queens General Acute Care Hospital 85-88 Parsons Blvd., Jamaica, NY 11432 2017-04-26
1760916324 Nayab Chowhan General Acute Care Hospital 818 Friel Pl, Brooklyn, NY 11218-2609 2017-04-20
1629509146 Luke Alessi General Acute Care Hospital 207 Bayville Ave, Bayville, NY 11709-1652 2017-03-26
1376083378 Department of Education General Acute Care Hospital 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 2017-02-24
1255878492 Winthrop University Hospital General Acute Care Hospital 212 Jericho Turnpike, Mineola, NY 11501 2017-01-26
1316480353 Compassionate Companion Care, Pllc General Acute Care Hospital 204 Hendy Creek Rd, Pine City, NY 14871-9760 2016-11-23
1164964078 Adrielle Ofosu General Acute Care Hospital 84 Kimball Ave, Yonkers, NY 10704-4222 2016-11-09
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Competitor

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City MERRICK
Zip Code 11566

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Dataset Information

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.

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