St Lukes Roosevelt Hospital Center
Organization Active NPI General Acute Care Hospital · New York, NY
NPI 1104982917 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1104982917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 7002032H (NY)
- Legal business name
- ST LUKES ROOSEVELT HOSPITAL CENTER
- Practice address
- 1000 10TH Ave
Roosevelt Division
New York, NY 10019 - Phone
- (212) 523-4000
- Fax
- (212) 256-3594
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenneth Barritt
- Title
- Sr Vice President
- Phone
- (646) 605-4217
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 2
Practitioners 355
-
Veevek Agrawal, DO
-
Gabriella Ahle, MD
-
Amir Ahmadi, M.D
-
Sanam Ahmed, MD
-
Nargiz Aliyeva, MD
-
Mark Henry Alon, M.D.
-
Alex Amberg, MD
-
Gregory Michael Amend, M.D.
-
Megan Andrews, MD
-
John Anthony Andrilli, M.D.
-
Kamara C Aseme, M.D
-
William Michael Atallah, M.D., M.P.H.
-
Ketan K Badani, M.D.
-
Jeffrey Bander, MD
-
Nitin Barman, M.D.
-
Jay R Begun, M.D
-
Scott J. Belsley, M.D,
-
Samuel Bender, MD
-
Alan Ira Benvenisty, M.D.
Affiliated clinicians 1,047
-
Genevieve Nguyen Abbey, M.D.
-
Rory Abrams, MD
-
Rana Abualsaud, M.D.
-
Nikhil Adapa, MD
-
Debora Afezolli, M.D.
-
Vikram Vedprakash Agarwal, M.D., M.P.H.
-
Amit Aggarwal, M.D.
-
Nikita Agrawal, M.D.
-
Veevek Agrawal, DO
-
David Aharonoff, MD
-
Amir Ahmadi, M.D
-
Rizwan Ahmed, MD
-
Sanam Ahmed, MD
-
Saadia Akhtar, MD
-
Omar Al Dhaybi, M.D.
-
Jeanine B Albu, M.D.
-
Robert Arthur Aldoroty, MD, PHD
Medicare Care Compare: Hospital
- Listed as
- Mount Sinai West
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Hospital certification: CCN 330046
- Legal name
- ST LUKES ROOSEVELT HOSPITAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 30, 2024
- Beds
- 1,028
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 1, 1936 in NY
- Enrollment address
- 1000 Tenth Avenue
New York, NY 10019-1147 - Hospital subgroups
- Acute care, Psychiatric unit, Rehabilitation unit
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Mindich |
Corporate Director |
Jan 1, 2015 | |
| Frank Bisignano |
Corporate Director |
Dec 24, 2019 | |
| John S Winkleman |
Corporate Director |
Jan 1, 2015 | |
| Susan Cullman |
Corporate Director |
Dec 24, 2019 | |
| Denis Donegan |
Corporate Officer |
Jan 1, 2022 | 100% |
| W-2 Managing Employee |
Jan 1, 2022 | 100% | |
| Operational/Managerial Control |
Jan 1, 2022 | 100% | |
| John a Levin |
Corporate Director |
Jan 1, 2015 | |
| Robert Savage |
Corporate Director |
Dec 24, 2019 | |
| Joel S. Ehrenkranz |
Corporate Director |
Dec 24, 2019 | |
| Richard a Friedman |
Corporate Director |
Jan 1, 2022 | |
| James E Flynn |
Corporate Director |
Dec 24, 2019 | |
| Thomas W Strauss |
Corporate Director | Jan 1, 2015 | |
| Joel Picket |
Corporate Director |
Dec 24, 2019 | |
| James Neary |
Corporate Director |
Dec 24, 2019 | |
| William Wright |
Corporate Director |
Dec 24, 2019 | |
| Henry M Calderon |
Corporate Director |
Dec 24, 2019 | |
| James S Tisch |
Corporate Director |
Dec 24, 2019 | |
| John B Hess |
Corporate Director |
Jan 1, 2015 | |
| Steven Hochberg |
Corporate Director |
Jan 1, 2015 | |
| Peter W May |
Corporate Director |
Jan 1, 2022 | |
| Judith O Rubin |
Corporate Director | Jan 1, 2015 | |
| Louis Pell |
Corporate Director |
Dec 24, 2019 | |
| Timothy Day |
Corporate Director | Apr 1, 2009 | |
| James Gogel |
Corporate Director |
Jan 1, 2015 | |
| Michael Zimmerman |
Corporate Director |
Dec 24, 2019 | |
| Michael Minikes |
Corporate Director |
Dec 24, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090506000114 | NY | Part a Provider - Hospital | 1355250788 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Psychiatric Hospital Unit | 273R00000X | 7002032H | NY | |
| Rehabilitation Hospital Unit | 273Y00000X | 7002032H | NY | |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | 7002032H | NY | |
| General Acute Care Hospital | 282N00000X | 7002032H | NY | Yes |
| Ambulance | 341600000X | 7002032H | NY |
Addresses
Primary practice location
1000 10TH Ave
Roosevelt Division
New York, NY 10019
Mailing address
160 Water St
24TH Floor
New York, NY 10038-4922
Phone (212) 256-3030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01650173 | Medicaid | NY | |
| 00354967 | Medicaid | NY | |
| 000559 | Other | NY | BLUE CROSS |
| 00239247 | Medicaid | NY |
Other providers in New York, NY
- St Lukes Hospital
- St Lukes Roosevelt
- St Lukes Roosevelt Community Care
- St Lukes Roosevelt Hospital
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
All providers in New York, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.