Organization Active NPI

St Luke'S Cornwall Hospital

  • Hospitalist Physician
  • Newburgh, NY
National Provider Identifier
1750533378
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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

Updated by the provider on Sep 30, 2011

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02812586MedicaidNY

Other names 1

  • Gateway Hospital Physicians Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.