NPIMap

Organization Active NPI

Ralph Lauren Center for Cancer Care and Prevention

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1861479248
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7002172R Issued in NY
Legal business name
RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION
Practice address
1919 Madison Ave
New York, NY 10035-2745
Phone
(212) 987-1777
Fax
(212) 987-1776
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Millie Benitez
Title
Revenue Cycle Manager
Phone
(212) 987-1777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 7002172R NY
Multi-Specialty Clinic/Center 261QM1300X 7002172R NY Primary

Addresses

Primary practice location

1919 Madison Ave
New York, NY 10035-2745

Mailing address

1919 Madison Ave
New York, NY 10035-2745
Phone (212) 987-1777

Other identifiers 1

IdentifierTypeStateIssuer
02424633MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1861479248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352745",
            "telephone_number": "212-987-1777",
            "fax_number": "212-987-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352745",
            "telephone_number": "212-987-1777",
            "fax_number": "212-987-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "212-987-1777"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "7002172R",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7002172R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02424633",
            "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 Nov 17, 2017; 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.