Organization Active NPI

NYU Langone Medical Center/Tisch Hospital

  • General Acute Care Hospital
  • South Setauket, NY
National Provider Identifier
1629423009
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NYU LANGONE MEDICAL CENTER/TISCH HOSPITAL
Practice address
70 Province Dr
South Setauket, NY 11720-4617
Phone
(516) 395-4194
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Jeffrey Manko, M.D.
Title
Assistant Professor
Phone
(212) 562-4317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

70 Province Dr
South Setauket, NY 11720-4617

Mailing address

70 Province Dr
South Setauket, NY 11720-4617
Phone (516) 395-4194

National Provider Directory

National Provider Directory
Tax ID family
Hospital for Joint Diseases NYU Lagone Medical Center64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1629423009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PROVINCE DR",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204617",
            "telephone_number": "516-395-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PROVINCE DR",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204617",
            "telephone_number": "516-395-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LANGONE MEDICAL CENTER/TISCH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "MANKO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "212-562-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.