Organization Active NPI

St. Lukes Roosevelt Hospital Center

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1356489538
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. LUKES ROOSEVELT HOSPITAL CENTER
Practice address
200 W 57TH St
Suiet 1201
New York, NY 10019-3211
Phone
(212) 765-5151
Fax
(212) 765-1414
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Raul Aguilar
Title
Billing Director
Phone
(212) 308-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

200 W 57TH St
Suiet 1201
New York, NY 10019-3211

Mailing address

PO Box 95000-2388
Philadelphia, PA 19195-2388
Phone (212) 308-1112

Other names 1

  • West Care Medical Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1356489538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2388",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952388",
            "telephone_number": "212-308-1112",
            "fax_number": "212-308-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUIET 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-765-5151",
            "fax_number": "212-765-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "212-308-1112"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Care Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 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.