NPIMap

Organization Active NPI

St Luke Roosevelt Hospital

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1598819765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
005773-1 Issued in NY
Legal business name
ST LUKE ROOSEVELT HOSPITAL
Practice address
630 Ocean Ave #6B
Brooklyn, NY 11226
Phone
(212) 523-6500
Fax
(212) 523-7182
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Sherly Altidor, PANPI 1215171038
Title
Physician Assistant
Phone
(212) 523-5567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 005773-1 NY Primary

Addresses

Primary practice location

630 Ocean Ave #6B
Brooklyn, NY 11226

Mailing address

1000 10TH Ave # 2T
New York, NY 10019-1147
Phone (212) 523-6500

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Roosevelt Hospita26 organizations share this tax ID, including this one

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598819765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE # 2T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE #6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "212-523-6500",
            "fax_number": "212-523-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE ROOSEVELT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTIDOR",
        "authorized_official_first_name": "SHERLY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "212-523-5567",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "005773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.