Organization Active NPI

Lutheran Social Services of Metropolitan New York

  • Voluntary or Charitable Agency
  • New York, NY
National Provider Identifier
1417128331
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Oct 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03001154MedicaidNY
00343408MedicaidNY

Other names 1

  • Lutheran Social Services of New York Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.