NPIMap

Organization Active NPI

Bronx Lebanon Hospital

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1013312081
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
088805 Issued in NY
Legal business name
BRONX LEBANON HOSPITAL
Practice address
401 E 167TH St
Bronx, NY 10456-4037
Phone
(718) 590-1800
Fax
(718) 579-7330
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Theresa CareyNPI 1588983795
Title
LCSW
Phone
(718) 579-7389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 088805 NY Primary

Addresses

Primary practice location

401 E 167TH St
Bronx, NY 10456-4037

Mailing address

401 East 167TH Street
Bronx, NY 10456
Phone (718) 590-1800

Other identifiers 1

IdentifierTypeStateIssuer
131974191MedicaidNY

National Provider Directory

National Provider Directory

Locations

401 E 167th St
Bronx, NY 10456
Phone (718) 579-7300

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1013312081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST 167TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "718-590-1800",
            "fax_number": "718-579-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564037",
            "telephone_number": "718-590-1800",
            "fax_number": "718-579-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX LEBANON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "718-579-7389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "088805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131974191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.