NPIMap

Organization Active NPI

St Vincent Catholic Medical Centers

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1720163926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST VINCENT CATHOLIC MEDICAL CENTERS
Practice address
222 W 14TH St
New York, NY 10011-7200
Phone
(212) 604-1800
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis Greenbaum, MD
Title
Chairman of Medicine
Phone
(212) 356-5922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

222 W 14TH St
New York, NY 10011-7200

Mailing address

450 W 33Rd St
12TH Floor, PBS
New York, NY 10001-2603
Phone (212) 356-5922

Other identifiers 1

IdentifierTypeStateIssuer
01278748MedicaidNY

Other names 1

  • Medical Associates Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Vincents Comprehensive Cancer Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

460 W 33rd St
Fl 12
New York, NY 10001
Phone (212) 306-4400

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720163926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 33RD ST",
            "address_2": "12TH FLOOR, PBS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012603",
            "telephone_number": "212-356-5922",
            "fax_number": "212-356-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117200",
            "telephone_number": "212-604-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT CATHOLIC MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHAIRMAN OF MEDICINE",
        "authorized_official_telephone_number": "212-356-5922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01278748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates Group",
            "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 22, 2020; 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.