Organization Active NPI

St Lukes Roosevelt Hospital Center

  • Gynecologic Oncology Physician
  • New York, NY
National Provider Identifier
1992701205
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
ST LUKES ROOSEVELT HOSPITAL CENTER
Practice address
425 West 59TH Street, Ste 9-B
New York, NY 10019-1104
Phone
(212) 523-7752
Fax
(212) 523-7731
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Jeffrey Singerman
Title
Administrator
Phone
(212) 523-3452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

425 West 59TH Street, Ste 9-B
New York, NY 10019-1104

Mailing address

PO Box 95000-2239
Philadelphia, PA 19195-2239
Phone (732) 873-5133

Other identifiers 1

IdentifierTypeStateIssuer
019792235MedicaidNY

Other names 1

  • GYN ONCOLOGY OF SLR Doing business as

National Provider Directory

National Provider Directory

Locations

425 W 59th St
Ste 9B
New York, NY 10019
Phone (212) 523-7752

425 W 59th St
Ste 4B
New York, NY 10019
Phone (212) 523-7752

425 W 59th St
Ste 5F
New York, NY 10019
Phone (212) 523-7752

Practitioners & affiliated clinicians

Practitioners 6

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1992701205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2239",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952239",
            "telephone_number": "732-873-5133",
            "fax_number": "732-873-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WEST 59TH STREET, STE 9-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191104",
            "telephone_number": "212-523-7752",
            "fax_number": "212-523-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES ROOSEVELT HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "SINGERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-523-3452"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019792235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GYN ONCOLOGY OF SLR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2012; 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.