NYU Lutheran Medical Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

7001019H Issued in NY

Legal business name

NYU LUTHERAN MEDICAL CENTER

Doing business as

NYU Lutheran Family Health Center QualityCare Group

Practice address

150 55TH St
Brooklyn, NY 11220-2508

Phone

(718) 630-7000

Fax

(718) 630-7437

NPI assigned

Nov 3, 2014

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Dellacerra

Title

VP of Managed Care

Phone

(718) 630-7103

Specialties & licenses 1

Addresses

Other names 1

• NYU Lutheran Family Health Center QualityCare Group Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• New York University

  dba NYU Cardiothoracic Surgery Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
  • NPI 1174575682

  Member Of

  NPD member

Locations

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Anderson, LMSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1851562292
  NPD (past)
• Mohamad Walid Attal, DMD

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
  • NPI 1427805068
  NPD (past)
• Bernetta Lynne Avery, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1740391630
  NPD (past)
• Sarah Jane Baloch, MS, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245484302
  NPD (past)
• Nailah Femi Bourne

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1346856101
  NPD (past)
• Sarah Cabrera, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1871981373
  NPD (past)
• Marie Casal

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1912530213
  NPD (past)
• Gildelgar Centeno, LCSW

  • Clinical Social Worker
  • Long Island City, NY
  • NPI 1386011997
  NPD (past)
• Pen-Pen Chen

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1962945790
  NPD (past)
• Katherine Nicole Day-Meza, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1356018998
  NPD (past)
• Bethany Faith Depalo Milos

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1790349231
  NPD (past)
• Arleena Duong, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1245505130
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1245635200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "MANAGED CARE DEPT.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7103",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "718-630-7000",
            "fax_number": "718-630-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LUTHERAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "DELLACERRA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP OF MANAGED CARE",
        "authorized_official_telephone_number": "718-630-7103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7001019H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Lutheran Family Health Center QualityCare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NYU Langone Hospitals (NYU Langone Perlmutter Cancer Center - Sunset Park)
• NYU Langone Hospitals (NYU Langone Hospital - Brooklyn)
• NYU Langone Hospitals
• NYU Lanogone Medical Center
• NYU Lutheran
• NYU Lutheran Medical Center
• NYU Lutheran Medical Center
• NYU Lutheran Medical Center
• NYU Lutheran Medical Center
• NYU Lutheran Medical Center

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.