Lighthouse International

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

7002239R Issued in NY

Legal business name

LIGHTHOUSE INTERNATIONAL

Practice address

111 E 59TH St
New York, NY 10022-1202

Phone

(212) 821-9200

Fax

(212) 821-9710

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Stuen, PH.D., DSW

Title

Senior Vice President, Services

Phone

(212) 821-9484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Janet Renate McEntee, LCSW

  • Clinical Social Worker
  • Long Beach, NY
  • NPI 1356585731
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386698504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 59TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221202",
            "telephone_number": "212-821-9200",
            "fax_number": "212-821-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 59TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221202",
            "telephone_number": "212-821-9200",
            "fax_number": "212-821-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, SERVICES",
        "authorized_official_telephone_number": "212-821-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., DSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "7002239R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00826444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles J. Lightdale, M.D.
• Jennifer Lynn Lighter, M.D.
• Karla Lightfoot, CMS-HP
• Riley Marie Lightfoot
• Lighthouse Dermatology, P.C.
• Lighthouse International
• Lighthouse Pediatrics, PC
• Lighthouse Psychiatry PLLC
• Lighthouse Therapeutics Inc.
• Lightning RX Pharmacy Inc

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.