NPIMap

Organization Active NPI

NYU Lutheran Medical Center

  • Ambulance
  • Brooklyn, NY
National Provider Identifier
1982875183
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
12263 Issued in NY
Legal business name
NYU LUTHERAN MEDICAL CENTER
Practice address
150 55TH St
Brooklyn, NY 11220-2559
Phone
(718) 630-7133
Fax
(718) 630-7437
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Mr. Gary Dellacerra, V.P.
Title
VP Managed Care & Revenue Complianc
Phone
(718) 630-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 12263 NY Primary

Addresses

Primary practice location

150 55TH St
Brooklyn, NY 11220-2559

Mailing address

5800 3Rd Ave
Lutheran Medical Center Managed Care Department
Brooklyn, NY 11220-3702
Phone (718) 630-7477

Other identifiers 1

IdentifierTypeStateIssuer
01228720MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Med Ctr-Eeg12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1982875183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 3RD AVE",
            "address_2": "LUTHERAN MEDICAL CENTER MANAGED CARE DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203702",
            "telephone_number": "718-630-7477",
            "fax_number": "718-630-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-630-7133",
            "fax_number": "718-630-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LUTHERAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "DELLACERRA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP MANAGED CARE & REVENUE COMPLIANC",
        "authorized_official_telephone_number": "718-630-7103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "V.P."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "12263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01228720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.