St Lukes Roosevelt Community Care
Organization Active NPI Internal Medicine Physician · New York, NY
NPI 1740469246 · NPPES record last updated Oct 31, 2007
Key facts
- NPI
- 1740469246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ST LUKES ROOSEVELT COMMUNITY CARE
- Practice address
- 1000 10TH Ave
New York, NY 10019-1147 - Phone
- (212) 523-7878
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Malcolm D Reid
- Title
- Group Director
- Phone
- (212) 523-7878
Practitioners 182
-
John Lantis, MD
-
Wojciech Reiss, M.D.
-
Rebecca Fisher, M.D.
-
Jeanine B Albu, M.D.
-
Andrew Alexis, MD
-
Lynn R Allen, M.D.
-
Lisa L. Anderson, MD
-
Salman Azhar, M.D.
-
Yevgeny Azrieli, M.D.
-
Nomeda Balcetis, M.D.
-
Anna Barczewska-Hillel, M.D.
-
Otis Alton Barron, M.D.
-
Harvey L Benovitz, M.D.
-
Robert S Bernstein, M.D.
-
Sandeep Bhat, M.D.
-
Andrew Blank, M.D.
-
Wesley S Blank, M.D.
-
Lois Eileen Brustman, M.D.
-
Gary R Burke, M.D.
-
Margie Dawn Campbell, M.D.
-
Edward N. Chai, M.D.
National Provider Directory
Locations
9W 125TH St
New York, NY 10027
Phone (646) 672-3300
9 W 125TH St
New York, NY 10027
Phone (646) 672-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Ophthalmology Physician |
207W00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Pediatrics Physician |
208000000X | |||
| Podiatrist |
213E00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
1000 10TH Ave
New York, NY 10019-1147
Mailing address
407 Airport Executive Park
Nanuet, NY 10954-5288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02195022 | Medicaid | NY |
Other providers in New York, NY
- St Lukes Hospital
- St Lukes Hospital
- St Lukes Hospital
- St Lukes Hospital
- St Lukes Roosevelt
- St Lukes Roosevelt Hospital
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
- St Lukes Roosevelt Hospital Center
All providers in New York, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.