Organization Active NPI

St.Mary's Hospital for Children

  • Children's Rehabilitation Hospital
  • Bronx, NY
National Provider Identifier
1609137520
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
Legal business name
ST.MARY'S HOSPITAL FOR CHILDREN
Practice address
3349 Radcliff Ave
Bronx, NY 10469-3717
Phone
(718) 702-4133
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Ms. Alisa Broth
Title
Assistant Director
Phone
(718) 281-8935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X NY Primary

Addresses

Primary practice location

3349 Radcliff Ave
Bronx, NY 10469-3717

Mailing address

3349 Radcliff Ave
Bronx, NY 10469-3717
Phone (718) 702-4133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1609137520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693717",
            "telephone_number": "718-702-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693717",
            "telephone_number": "718-702-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARY'S HOSPITAL FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "BROTH",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "718-281-8935",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.