Organization Active NPI

OBGYN Associates of St Lukes Roosevelt Hospital

  • General Acute Care Hospital
  • New York, NY
National Provider Identifier
1811293301
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
23 014437 Issued in NY
Legal business name
OBGYN ASSOCIATES OF ST LUKES ROOSEVELT HOSPITAL
Practice address
1000 10TH Ave
New York, NY 10019-1147
Phone
(212) 523-3348
Fax
(212) 523-8066
NPI assigned
Feb 1, 2011
Organization subpart
Yes
Parent organization
CONTINUUM HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Mrs. Shira Matalon-Grazi, RPA-C
Title
Physician Assistant
Phone
(917) 270-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 23 014437 NY Primary

Addresses

Primary practice location

1000 10TH Ave
New York, NY 10019-1147

Mailing address

1157 E 22ND St
Brooklyn, NY 11210-3619

National Provider Directory

National Provider Directory
Part of
J Johnson

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1811293301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-3348",
            "fax_number": "212-523-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN ASSOCIATES OF ST LUKES ROOSEVELT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTINUUM HEALTH PARTNERS",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MATALON-GRAZI",
        "authorized_official_first_name": "SHIRA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "917-270-5748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "23 014437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 1, 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.