Organization Active NPI

Lutheran Hosptal

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1134405368
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
007975 Issued in NY
Legal business name
LUTHERAN HOSPTAL
Practice address
150 55TH St
Room 3-37
Brooklyn, NY 11220-2553
Phone
(718) 630-8357
Fax
(718) 630-8721
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Racheal Haddock
Title
Cath Lab Manager
Phone
(718) 630-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 007975 NY Primary

Addresses

Primary practice location

150 55TH St
Room 3-37
Brooklyn, NY 11220-2553

Mailing address

150 55TH St
Room 3-37
Brooklyn, NY 11220-2553
Phone (718) 630-8357

National Provider Directory

National Provider Directory

Locations

150 55th St
Rm 337
Brooklyn, NY 11220
Phone (718) 630-8357

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1134405368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "address_2": "ROOM 3-37",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202553",
            "telephone_number": "718-630-8357",
            "fax_number": "718-630-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "address_2": "ROOM 3-37",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202553",
            "telephone_number": "718-630-8357",
            "fax_number": "718-630-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOSPTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "RACHEAL",
        "authorized_official_title_or_position": "CATH LAB MANAGER",
        "authorized_official_telephone_number": "718-630-6467"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "007975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.