Active NPI
Lutheran Social Services of Metropolitan New York
- Voluntary or Charitable Agency
- New York, NY
National Provider Identifier
1417128331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- LUTHERAN SOCIAL SERVICES OF METROPOLITAN NEW YORK
- Practice address
- 475 Riverside Dr
Suite 1244
New York, NY 10115-0002 - Phone
- (212) 870-1100
- Fax
- (212) 870-1101
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald Drews
- Title
- President/Ceo
- Phone
- (212) 870-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
475 Riverside Dr
Suite 1244
New York, NY 10115-0002
Mailing address
475 Riverside Dr
Suite 1244
New York, NY 10115-0002
Phone (212) 870-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03001154 | Medicaid | NY | |
| 00343408 | Medicaid | NY |
Other names 1
- Lutheran Social Services of New York
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1417128331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 RIVERSIDE DR",
"address_2": "SUITE 1244",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101150002",
"telephone_number": "212-870-1100",
"fax_number": "212-870-1101"
},
{
"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": "212-870-1100",
"fax_number": "212-870-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICES OF METROPOLITAN NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "DREWS",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "212-870-1100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03001154",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00343408",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Social Services of New York",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.