NPIMap

Organization Active NPI

St Lukes Roosevelt Hospital Center

  • Maternal & Fetal Medicine Physician
  • New York, NY
National Provider Identifier
1174508360
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Practice address
Primary 1000 10TH Avenue, Ste 11a-61
New York, NY 10019-1147
Phone
(212) 523-8110
Fax
(212) 523-3472
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Jeffrey Singerman
Title
Administrator
Phone
(212) 523-3452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

Primary 1000 10TH Avenue, Ste 11a-61
New York, NY 10019-1147

Mailing address

PO Box 95000-4930
Philadelphia, PA 19195-4930
Phone (516) 338-5300

Other identifiers 1

IdentifierTypeStateIssuer
01570034MedicaidNY

Other names 1

  • PERINATAL ASSOCIATES OF SLR Doing business as

National Provider Directory

National Provider Directory

Locations

1000 10th Ave
Ste 11A
New York, NY 10019
Phone (212) 523-3454

1000 10th Ave
Ste 11A6
New York, NY 10019

1000 10th Ave
Ste 11A61
New York, NY 10019
Phone (212) 523-7579

1111 Amsterdam Ave
Ste 8A
New York, NY 10025

1000 10th Ave
#11A61
New York, NY 10019
Phone (212) 844-8500

1000 10th Ave
#11
New York, NY 10019

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1174508360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-4930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954930",
            "telephone_number": "516-338-5300",
            "fax_number": "516-333-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMARY 1000 10TH AVENUE, STE 11A-61",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-8110",
            "fax_number": "212-523-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SINGERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-523-3452"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01570034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERINATAL ASSOCIATES OF SLR",
            "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 Jan 30, 2012; 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.