NPIMap

Organization Active NPI

St.Lukes-Roosevelt Hospital Center

  • Chronic Disease Hospital
  • New York, NY
National Provider Identifier
1063671352
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
028893 Issued in NY
Legal business name
ST.LUKES-ROOSEVELT HOSPITAL CENTER
Practice address
1111 Amsterdam Ave
C/O Outpatient Pharmacy 3Rd Floor
New York, NY 10025-1716
Phone
(212) 636-1122
Fax
(212) 636-1123
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Randall J Novak
Title
Pharmacy Supervisor
Phone
(212) 636-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 028893 NY Primary

Addresses

Primary practice location

1111 Amsterdam Ave
C/O Outpatient Pharmacy 3Rd Floor
New York, NY 10025-1716

Mailing address

1111 Amsterdam Ave
C/O Outpatient Pharmacy 3Rd Floor
New York, NY 10025-1716
Phone (212) 636-1122

Other names 1

  • c/o outpatient pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Side Med Emerg Ser26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1063671352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "C/O OUTPATIENT PHARMACY 3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-636-1122",
            "fax_number": "212-636-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "C/O OUTPATIENT PHARMACY 3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-636-1122",
            "fax_number": "212-636-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.LUKES-ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "212-636-1122"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "028893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "c/o outpatient pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.