NPIMap

Organization Active NPI

St Lukes Roosevelt Hospital Center

Doing business as Mounts Sinai Pharmacy-Harlem Health Center

  • Pharmacy
  • New York, NY
National Provider Identifier
1609644798
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Doing business as
Mounts Sinai Pharmacy-Harlem Health Center
Practice address
158 W 124TH St
New York, NY 10027-4919
Phone
(332) 243-0198
NPI assigned
Dec 18, 2023
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Debra Jaeger
Title
Senior Vice President, Cro
Phone
(646) 605-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

158 W 124TH St
New York, NY 10027-4919

Mailing address

1 Gustave L Levy PL # 1011
New York, NY 10029-6504
Phone (646) 605-6201

Other names 1

  • Mounts Sinai Pharmacy-Harlem Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180223001870 NY Part B Supplier - Pharmacy 1355250788 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY
O20250128000079 NY DME Supplier - Pharmacy 1355250788 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ms Pharmacy - Harlem Health Center158 W 124TH St, New York, NY 10027-4919(332) 243-0198 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Stlukes-Roosevelt Hospital26 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

Locations

150 E 42nd St
#2
New York, NY 10017

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1609644798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "646-605-6201",
            "fax_number": "212-256-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274919",
            "telephone_number": "332-243-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CRO",
        "authorized_official_telephone_number": "646-605-7350"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mounts Sinai Pharmacy-Harlem Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.