NPIMap

Organization Active NPI

St. Lukes Roosevelt Hospital Center

  • Psychiatric Hospital Unit
  • New York, NY
National Provider Identifier
1508001405
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
7002032H Issued in NY
Legal business name
ST. LUKES ROOSEVELT HOSPITAL CENTER
Practice address
1111 Amsterdam Avenue
New York, NY 10025-1716
Phone
(212) 256-3027
Fax
(212) 256-3595
NPI assigned
Dec 5, 2008
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES ROOSEVELT HOSPITAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Debra Jaeger
Title
SVP
Phone
(646) 605-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 7002032H NY Primary

Addresses

Primary practice location

1111 Amsterdam Avenue
New York, NY 10025-1716

Mailing address

160 Water St FL 24
New York, NY 10038-4922
Phone (212) 256-3296

Other identifiers 2

IdentifierTypeStateIssuer
000559OtherNYBLUE CROSS
02239247MedicaidNY

Other names 1

  • Psychiatric Unit Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090506000124 NY Part A Provider - Hospital 1355250788 Practice locations: New York, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508001405. Details of each certification follow.

Hospital certification: CCN 33S046

Legal name
ST LUKES ROOSEVELT HOSPITAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1936 in NY
Enrollment address
1000 Tenth Avenue
New York, NY 10019-1147
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Stlukes-Roosevelt Hospital26 organizations share this tax ID, including this one
Part of
Stlukes-Roosevelt Hospital

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Mindich Individual Corporate DirectorBoard of Directors Dec 24, 2019
Frank Bisignano Individual Corporate DirectorBoard of Directors Dec 24, 2019
John S Winkleman Individual Corporate DirectorBoard of Director Jan 1, 2015
Susan Cullman Individual Corporate DirectorBoard of Directors Dec 24, 2019
Andrew M Saul Individual Corporate DirectorBoard of Directors Dec 24, 2019
Denis Donegan Individual Corporate OfficerVice President Jan 1, 2022 100%
W-2 Managing EmployeeVice President Jan 1, 2022 100%
Operational/Managerial ControlVice President Jan 1, 2022 100%
John a Levin Individual Corporate DirectorBoard of Director Jan 1, 2015
Robert Savage Individual Corporate DirectorBoard of Directors Dec 24, 2019
Joel S. Ehrenkranz Individual Corporate DirectorBoard of Directors Dec 24, 2019
James E Flynn Individual Corporate DirectorBoard of Directors Dec 24, 2019
Thomas W Strauss Individual Corporate DirectorBoard of Director Jan 1, 2015
Joel Picket Individual Corporate DirectorBoard of Directors Dec 24, 2019
James Neary Individual Corporate DirectorBoard of Directors Dec 24, 2019
William Wright Individual Corporate DirectorBoard of Directors Dec 24, 2019
Henry M Calderon Individual Corporate DirectorBoard of Directors Dec 24, 2019
James S Tisch Individual Corporate DirectorBoard of Directors Dec 24, 2019
John B Hess Individual Corporate DirectorBoard of Director Jan 1, 2015
Steven Hochberg Individual Corporate DirectorBoard of Director Jan 1, 2015
Peter W May Individual Corporate DirectorBoard of Directors Dec 24, 2019
Judith O Rubin Individual Corporate DirectorBoard of Director Jan 1, 2015
Louis Pell Individual Corporate DirectorBoard of Directors Dec 24, 2019
James Gogel Individual Corporate DirectorBoard of Directors Dec 24, 2019
Michael Zimmerman Individual Corporate DirectorBoard of Directors Dec 24, 2019
Michael Minikes Individual Corporate DirectorBoard of Directors Dec 24, 2019

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1508001405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST FL 24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3296",
            "fax_number": "212-256-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-256-3027",
            "fax_number": "212-256-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES  ROOSEVELT HOSPITAL CENTER",
        "enumeration_date": "2008-12-05",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "646-605-7350"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "7002032H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000559",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.