Active NPI
Lutheran Social Services of New York
- Case Management Agency
- New York, NY
National Provider Identifier
1235323502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LUTHERAN SOCIAL SERVICES OF NEW YORK
- Practice address
- 475 Riverside Dr
Suite 1244
New York, NY 10115-0002 - Phone
- (212) 870-1171
- Fax
- (212) 870-1105
- NPI assigned
- Aug 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Selena Samuels
- Title
- Medical Assurance Coordinator
- Phone
- (212) 870-1171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
475 Riverside Dr
Suite 1244
New York, NY 10115-0002
Mailing address
475 Riverside Drive
Suite 1244
New York City, NY 10115-0037
Phone (212) 870-1171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00343408 | Other | NY | MEDICAID PROVIDER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1235323502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 RIVERSIDE DRIVE",
"address_2": "SUITE 1244",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "101150037",
"telephone_number": "212-870-1171",
"fax_number": "212-870-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 RIVERSIDE DR",
"address_2": "SUITE 1244",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101150002",
"telephone_number": "212-870-1171",
"fax_number": "212-870-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICES OF NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "SELENA",
"authorized_official_title_or_position": "MEDICAL ASSURANCE COORDINATOR",
"authorized_official_telephone_number": "212-870-1171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER",
"identifier": "00343408",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.