Organization Active NPI

Lutheran Social Services of New York

  • Case Management Agency
  • New York, NY
National Provider Identifier
1235323502
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Aug 30, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00343408OtherNYMEDICAID PROVIDER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.