Organization Active NPI

MSK Ralph Lauren Center

  • Medical Oncology Physician
  • New York, NY
National Provider Identifier
1316406879
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
MSK RALPH LAUREN CENTER
Practice address
1919 Madison Ave
New York, NY 10035-2745
Phone
(212) 987-1777
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Ruth Lande
Title
SVP
Phone
(646) 227-3583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X
Medical Oncology Physician 207RX0202X Primary

Addresses

Primary practice location

1919 Madison Ave
New York, NY 10035-2745

Mailing address

633 3Rd Ave
Mskcc-PBD/3Rd FL
New York, NY 10017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190515002562 NY Part B Supplier - Clinic/Group Practice 2769725720 Receives reassigned benefits from 35 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1316406879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 3RD AVE",
            "address_2": "MSKCC-PBD/3RD FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352745",
            "telephone_number": "212-987-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK RALPH LAUREN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "LANDE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "646-227-3583"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.