NPIMap

Organization Active NPI

Ralph Lauren Center for Cancer Care and Prevention

  • Special Hospital
  • New York, NY
National Provider Identifier
1770046351
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION
Practice address
1919 Madison Ave FRNT 2
New York, NY 10035
Phone
(212) 987-1777
Fax
(212) 987-1776
NPI assigned
Apr 10, 2019
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Mr. Anthony Joseph Diasio
Title
Senior Vice President, Financial PL
Phone
(646) 227-5978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

1919 Madison Ave FRNT 2
New York, NY 10035

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Other names 1

  • Memorial Sloan Kettering Cancer Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000137 NY Part A Provider - Hospital 7315929429 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Harrison, NY; Uniondale, NY; New York, NY; Montvale, NJ; Middletown, NJ; Commack, NY; Brooklyn, NY; Basking Ridge, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770046351. Details of each certification follow.

Hospital certification: CCN 330154

Legal name
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1968
Last certification
Oct 28, 2022
Beds
514
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 31, 1884 in NY
Enrollment address
1275 York Ave
New York, NY 10065-6007
Main/Primary Hospital Location
Hospital subgroups
Acute care, Short-term, Other

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Westley D Wong11 organizations share this tax ID, including this one
Part of
Westley D Wong

Other organizations with this tax ID 10

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

Locations

1133 York Ave
New York, NY 10065
Phone (646) 888-7045

163 W 125th St
Fl 4
New York, NY 10027
Phone (212) 531-8000

300 E 66th St
New York, NY 10065
Phone (347) 798-8856

327 E 64th St
New York, NY 10065
Phone (646) 603-1354

515 Madison Ave
Frnt 4
New York, NY 10022
Phone (646) 888-1900

641 Lexington Ave
Fl 7
New York, NY 10022
Phone (646) 888-0098

Ownership & related parties

All disclosed owners & managing parties 45

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott M Stuart Individual Corporate Director Apr 2, 2008
Jorge Lopez Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeExecutive VP & General Counsel Jul 1, 2016
Tracy Gosselin Individual Corporate Officer Nov 8, 2021
W-2 Managing EmployeeChief Nurse Executive Nov 8, 2021
Clifton S Robbins Individual Corporate Director Mar 1, 2000
Ian Cook Individual Corporate Director Mar 14, 2012
Bruce C Ratner Individual Corporate Director Apr 2, 2008
Peter a Weinberg Individual Corporate Director Mar 30, 2011
Jamie C Nicholls Individual Corporate Director Jan 1, 2019
Carolyn B Levine Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeCorporate Secretary Jun 20, 2011
Kenneth Manotti Individual Corporate Officer Jun 1, 2018
W-2 Managing EmployeeSenior VP, Development May 29, 2018
Stanley F Druckenmiller Individual Corporate Director Mar 1, 2003
Anthony B Evnin Individual Corporate Director Mar 30, 2011
Benjamin W Heineman Individual Corporate Director Mar 1, 2004
Roger W Ferguson Individual Corporate Director Apr 1, 2016
Stephen Friedman Individual Corporate Director Mar 1, 2005
Debra Berns Individual Corporate Officer Mar 19, 2018
W-2 Managing EmployeeSenior VP and Chief Risk Officer Mar 19, 2018
Janet Mak Individual Corporate OfficerInterim Chief Digital Officer Mar 31, 2025
W-2 Managing Employee Dec 8, 1997
Anaeze C Offodile Individual Corporate Officer May 1, 2023
W-2 Managing EmployeeChief Strategy Officer May 1, 2023
Jeffrey a Drebin Individual Corporate OfficerChief Physician Executive Jul 2, 2025
W-2 Managing Employee Feb 20, 2017
Lakisha Mack Individual Corporate Officer Mar 27, 2023
W-2 Managing EmployeeChief Administrative Officer Mar 27, 2023
Cardinale B Smith Individual Corporate OfficerChief Medical Officer Dec 1, 2024
W-2 Managing Employee Dec 1, 2024
Margaret Keane Individual Corporate Director Apr 10, 2018
Christopher Deluco Individual W-2 Managing EmployeeVP, Revenue Cycle Management & CPP Mar 25, 2019
William Helman Individual Corporate Director Jun 22, 2017
Mercedes Gorre Individual Corporate OfficerChief of Staff Mar 7, 2016
W-2 Managing Employee Mar 7, 2016
Alan D Schnitzer Individual Corporate Director Apr 6, 2017
Marie-Josee Kravis Individual Corporate Director Jun 1, 2003
John Lasky Individual Corporate OfficerChief People Officer Sep 3, 2024
W-2 Managing Employee Sep 3, 2024
Steven C Glass Individual Corporate OfficerEvp & Chief Financial Officer Mar 19, 2026
W-2 Managing Employee Mar 16, 2026
Shelly a Anderson Individual Corporate Officer Sep 25, 2023
W-2 Managing EmployeeHospital President Sep 25, 2023
Selwyn M Vickers Individual Corporate Officer Sep 19, 2022
Corporate Director Sep 19, 2022
W-2 Managing EmployeePresident and Ceo Sep 19, 2022
Henry a Fernandez Individual Corporate Director Jun 26, 2014
Virginia M Rometty Individual Corporate Director Mar 30, 2011
Ellen V Futter Individual Corporate Director Mar 1, 2003
Alexander T Robertson Individual Corporate Director Apr 1, 2016
John R Strangfeld Individual Corporate Director Apr 1, 2016
Peter J Solomon Individual Corporate Director Mar 30, 2011
Anthony J Diasio Individual W-2 Managing EmployeeSVP Financial Planning Jan 23, 2017
Jason Klein Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeSeniorvp & Chief Investment Officer Jun 16, 2008
William E Ford Individual Corporate Director Mar 14, 2012
Erin McDonough Individual Corporate Officer Nov 8, 2021
W-2 Managing EmployeeSVP, Cmo & Cco Nov 8, 2021
Douglas a Warner Individual Corporate Director Mar 1, 1995
James G Niven Individual Corporate Director Mar 1, 1980
Jonathan N Grayer Individual Corporate Director Apr 1, 2006
Stephen C Sherrill Individual Corporate Director Mar 1, 2005

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

Affiliated clinicians 2,456

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,456

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1770046351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVE FRNT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-987-1777",
            "fax_number": "212-987-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "DIASIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, FINANCIAL PL",
        "authorized_official_telephone_number": "646-227-5978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Sloan Kettering Cancer Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Memorial Sloan Kettering Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.