Active NPI
OBGYN Associates of St Lukes Roosevelt Hospital
- General Acute Care Hospital
- New York, NY
National Provider Identifier
1811293301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 23 014437
- 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 PARTNERS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.