Active NPI
St.Luke'S Roosevelt Hospital
- Ambulance
- New York, NY
National Provider Identifier
1679952691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ST.LUKE'S ROOSEVELT HOSPITAL
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-4000
- Fax
- (212) 256-3594
- NPI assigned
- May 22, 2015
- Organization subpart
- Yes
- Parent organization
- ST. LUKE'S ROOSEVELT HOSPTIAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Micheal Bruno
- Title
- Senior Vice President / Cfo
- Phone
- (212) 523-7140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025-1716
Mailing address
160 Water St
24TH Floor
New York, NY 10038-4922
Phone (212) 256-3296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416L0300X | Other | NY | TAXONOMY |
National Provider Directory
National Provider Directory- Tax ID family
- West Side Med Emerg Ser
- Part of
- West Side Med Emerg Ser
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1679952691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "24TH FLOOR",
"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 AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-4000",
"fax_number": "212-256-3594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST.LUKE'S ROOSEVELT HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. LUKE'S ROOSEVELT HOSPTIAL",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "MICHEAL",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT / CFO",
"authorized_official_telephone_number": "212-523-7140",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "3416L0300X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- St. Vincent'S Midtown Hospital
- St. Vincent'S Psychiatry Associates
- St. Vincent'S Services
- Dorothea St.Clair, RN
- Vandina O. St.Hilaire, BA
- St.Lukes Roosevelt Hospital Center Childrens Blended Case Managemen
- St.Lukes-Roosevelt Hospital
- St.Lukes-Roosevelt Hospital Center
- Jenyca St.Surin
- Derek St.Thomas, D.C., CERT MDT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.