Organization Active NPI

St.Luke'S Roosevelt Hospital

  • Ambulance
  • New York, NY
National Provider Identifier
1679952691
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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 HOSPTIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3416L0300XOtherNYTAXONOMY

National Provider Directory

National Provider Directory
Tax ID family
West Side Med Emerg Ser26 organizations share this tax ID, including this one
Part of
West Side Med Emerg Ser

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

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

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.

Verify at the official NPI Registry.