NPIMap

Organization Active NPI

Calvary Hospital Inc

  • Special Hospital
  • Bronx, NY
National Provider Identifier
1003858390
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
7000011H Issued in NY
Legal business name
CALVARY HOSPITAL INC
Practice address
1740 Eastchester Rd
Bronx, NY 10461-2300
Phone
(718) 518-2069
Fax
(718) 518-2672
NPI assigned
Jun 12, 2006
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew V Greco
Title
Chief Financial Officer
Phone
(718) 518-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 7000011H NY Primary

Addresses

Primary practice location

1740 Eastchester Rd
Bronx, NY 10461-2300

Mailing address

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324001430 NY Part B Supplier - Clinic/Group Practice 9133010382 Receives reassigned benefits from 91 practitioners
1 other NPI on this enrollment
Practice locations: Bronx, NY
O20101215000152 NY Part A Provider - Hospital 9133010382 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003858390. Details of each certification follow.

Hospital certification: CCN 332006

Legal name
CALVARY HOSPITAL INC
Doing business as
ARCHCARE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 1966
Last certification
May 16, 2025
Beds
225
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 27, 1900 in NY
Enrollment address
1740 Eastchester Rd
Bronx, NY 10461-2300
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carol Kojes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Goldman Individual Corporate DirectorMedical Director Feb 2, 2024
W-2 Managing Employee Feb 2, 2024
Joseph Saporito Individual Corporate DirectorBoard Member Feb 2, 2024
Tara a. Cortes Individual Corporate DirectorBoard Member Feb 26, 2024
Frank J Serbaroli Individual Corporate DirectorBoard Member Feb 2, 2024
Jeffrey J Menkes Individual Corporate Director Feb 2, 2024
W-2 Managing EmployeeChief Executive Officer Feb 2, 2024
Providence Health Services Inc Organization, New York, NY Non-profit 5% Or Greater Indirect Ownership Interest Sep 25, 2006 100%
Thomas M O'Brien Individual Corporate DirectorBoard Member Feb 26, 2024
Stephen J Bujno Individual Corporate DirectorBoard Member Feb 2, 2024
Andrew Greco Individual Corporate Director Jan 1, 2011
W-2 Managing Employee Jan 1, 2011
Gerald T Sweeney Individual Corporate DirectorBoard Member Feb 2, 2024
Catholic Health Care Systems Organization, New York, NY Non-profit 5% Or Greater Direct Ownership Interest Sep 25, 2006 100%
Karen a Gray Individual Corporate DirectorBoard Member Feb 26, 2024
John F Gleason Individual Corporate DirectorBoard Member Feb 2, 2024
Scott Larue Individual Corporate DirectorBoard Member Feb 2, 2024
Clarion E Johnson Individual Corporate DirectorBoard Member Feb 2, 2024
Carlos Hernandez Individual Corporate DirectorBoard Member Apr 22, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1003858390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "718-518-2069",
            "fax_number": "718-518-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "718-518-2069",
            "fax_number": "718-518-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-518-2069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NY",
            "license": "7000011H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.