NPIMap

Organization Active NPI

St Lukes Roosevelt Hospital Center

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1821136979
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Practice address
1000 10TH Ave
2T Clinic
New York, NY 10019-1147
Phone
(212) 636-3600
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Debra Jaeger
Title
Senior Vice President, Cro
Phone
(646) 605-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1000 10TH Ave
2T Clinic
New York, NY 10019-1147

Mailing address

1000 10TH Ave
2T Clinic
New York, NY 10019-1147

Other identifiers 3

IdentifierTypeStateIssuer
026561OtherNYLICENSE
3344289OtherNYNCPDP
02640706MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180223001870 NY Part B Supplier - Pharmacy 1355250788 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY
O20250717001727 NY DME Supplier - Pharmacy 1355250788 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
St Lukes Roosevelt Hospital Center1000 10TH Ave, New York, NY 10019-1147(212) 636-3600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
West Side Med Emerg Ser26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

1111 Amsterdam Ave
Fl 10
New York, NY 10025
Phone (212) 523-8672

429 W 58th St
New York, NY 10019
Phone (212) 523-6150

419 W 114th St
New York, NY 10025
Phone (212) 256-4000

203 W 12th St
Rm 1106
New York, NY 10011
Phone (212) 604-1970

1000 10th Ave
#2T
New York, NY 10019
Phone (212) 636-3600

443 W 135th St
New York, NY 10031

555 W 57th St
New York, NY 10019
Phone (212) 376-1810

411 W 114th St
New York, NY 10025
Phone (212) 523-5091

1111 Amsterdam Ave
Bldg 6TH
New York, NY 10025
Phone (212) 523-6611

1000 10th Ave
Unit 12B
New York, NY 10019

122 Amsterdam Ave
New York, NY 10023
Phone (212) 501-1300

145 W 84th St
New York, NY 10024
Phone (212) 877-5666

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1821136979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "2T CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "2T CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-636-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CRO",
        "authorized_official_telephone_number": "646-605-7350"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "026561",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3344289",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02640706",
            "state": "NY"
        }
    ],
    "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 Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.