Active NPI
St Luke'S Cornwall Hospital
- Hospitalist Physician
- Newburgh, NY
National Provider Identifier
1750533378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- ST LUKE'S CORNWALL HOSPITAL
- Practice address
- 70 Dubois St
Hospitalist Dept, St Luke'S Cornwall Hospital
Newburgh, NY 12550-4851 - Phone
- (845) 568-2827
- Fax
- (845) 568-2851
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill G Barton, 8454584023
- Title
- Vice President of Finance
- Phone
- (845) 458-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
70 Dubois St
Hospitalist Dept, St Luke'S Cornwall Hospital
Newburgh, NY 12550-4851
Mailing address
19 Laurel Ave FL 3
Business Office/ St Luke'S Cornwall Hospital
Cornwall, NY 12518-1403
Phone (845) 458-4929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02812586 | Medicaid | NY |
Other names 1
- Gateway Hospital Physicians
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1750533378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LAUREL AVE FL 3",
"address_2": "BUSINESS OFFICE/ ST LUKE'S CORNWALL HOSPITAL",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181403",
"telephone_number": "845-458-4929",
"fax_number": "845-568-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DUBOIS ST",
"address_2": "HOSPITALIST DEPT, ST LUKE'S CORNWALL HOSPITAL",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125504851",
"telephone_number": "845-568-2827",
"fax_number": "845-568-2851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKE'S CORNWALL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "845-458-4040",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "8454584023"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02812586",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Hospital Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.