Organization Active NPI

St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Brewster, NY
National Provider Identifier
1194082404
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
556227 Issued in NY
Legal business name
ST. LUKE'S CORNWALL HOSPITAL
Practice address
9214 Field and Forest CT
Brewster, NY 10509-2744
Phone
(914) 479-8555
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Diego Garrido
Title
Crna
Phone
(914) 479-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 556227 NY Primary

Addresses

Primary practice location

9214 Field and Forest CT
Brewster, NY 10509-2744

Mailing address

9214 Field and Forest CT
Brewster, NY 10509-2744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1194082404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 FIELD AND FOREST CT",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 FIELD AND FOREST CT",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092744",
            "telephone_number": "914-479-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S CORNWALL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "914-479-8555"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "556227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.