ST LUKES ROOSEVELT HOSPITAL CENTER (NPI# 1417192311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417192311 |
| Entity Type | Organization |
| Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Other Organization Name | REHABILITATION UNIT |
| Practice Address |
1111 Amsterdam Ave New York NY 10025-1716 |
| Mailing Address |
160 Water St Suite 2329 New York NY 10038-4922 |
| Practice Telephone | 2122563027 |
| Practice Fax Number | 2122563595 |
| Mailing Telephone | 2122563027 |
| Mailing Fax Number | 2122563595 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | MR. KENNETH BARRITT (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6466054217 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST LUKES ROOSEVELT HOSPITAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 7002032H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000559 | 01 |
| NY | 01650173 | 05 |
| Other Name | Type Code |
|---|---|
| Rehabilitation Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285600106 | St Lukes Roosevelt Hospital Center | Medical Genetics | 1000 10th Ave Ste 10c, New York, NY 10019-1147 | 2006-02-28 |
| 1164407359 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 5-a, New York, NY 10019-8022 | 2005-12-09 |
| 1174508360 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | Primary 1000 10th Avenue, Ste 11a-61, New York, NY 10019-1147 | 2005-12-09 |
| 1992701205 | St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | 425 West 59th Street, Ste 9-b, New York, NY 10019-1104 | 2005-06-22 |
| 1235440561 | St Lukes Roosevelt Hospital Center | Pharmacy | 275 7th Ave Fl 12, New York, NY 10001-6995 | 2010-07-01 |
| 1821136979 | St Lukes Roosevelt Hospital Center | Pharmacy | 1000 10th Ave, 2t Clinic, New York, NY 10019-1147 | 2007-02-01 |
| 1063562551 | St Lukes Roosevelt Hospital Center | Pharmacy | 203 W 12th St, New York, NY 10011-7762 | 2007-01-10 |
| 1104982917 | St Lukes Roosevelt Hospital Center | Case Management | 1000 10th Ave, Roosevelt Division, New York, NY 10019 | 2006-12-28 |
| 1164582110 | St Lukes Roosevelt Hospital Center | Psychiatric Hospital | 411 W 114th St, New York, NY 10025-1710 | 2006-12-11 |
| 1134211717 | St Lukes Roosevelt Hospital Center | Internal Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2006-09-29 |
| Street Address |
1111 AMSTERDAM AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690352 | Peter Rolf Holt | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2005-06-21 |
| 1396344867 | Joseph Jean Elias | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-25 |
| 1174122568 | Juliana G. Arantes I | Physical Therapist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-18 |
| 1457958597 | Keerthana Haridas | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-01 |
| 1487268983 | Keivonna Nyarko | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-09-02 |
| 1457961161 | Gizelle Elena Perez | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-08-06 |
| 1609484641 | Minh Quan Vu | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-07-15 |
| 1497370936 | Ami Shah | Pharmacist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-06-10 |
| 1598388464 | Conor W Buckley | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-26 |
| 1639792799 | Javier Joseph Zulueta | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104059112 | Annalyn Lazarus | Rehabilitation Unit | 60 Madison Ave Fl 8, New York, NY 10010-1676 | 2009-08-25 |
| 1477625846 | Proffessional Healthcare& Chiropractic Services PC | Rehabilitation Unit | 641 Lexington Ave Fl 14, New York, NY 10022-4503 | 2006-11-14 |
| 1669752739 | Spots | Rehabilitation Unit | 611 Broadway, #908, New York, NY 10012-2608 | 2011-08-22 |
| 1497074322 | Natalie Cela | Rehabilitation Unit | 15 W 65th St, 2nd Floor, New York, NY 10023-6601 | 2010-05-17 |
| 1649415571 | Beth Israel Medical Center | Rehabilitation Unit | First Avenue and 16th Street, New York, NY 10003 | 2008-12-05 |
| 1619169273 | Delynne Alecia Baptiste | Rehabilitation Unit | 462 1st Ave, New York, NY 10016-9196 | 2007-08-16 |
| 1982786950 | Cabrini Medical Center | Rehabilitation Unit | 227 E 19th St, New York, NY 10003-2602 | 2006-10-19 |
| 1669578324 | Nyu Langone Hospitals | Rehabilitation Unit | 301 E 17th St, New York, NY 10003 | 2006-09-16 |
| 1477581015 | Saint Vincent Catholic Medical Center | Rehabilitation Unit | 153 W 11th St, New York, NY 10011-8305 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1205297009 | Big N Little Corp | Rehabilitation Unit | 1208 Avenue M Ste 2504, Brooklyn, NY 11230-5204 | 2016-03-08 |
| 1437548021 | Professional Caring Hands | Rehabilitation Unit | 129 Vernon Ave, Mount Vernon, NY 10553-1811 | 2015-01-20 |
| 1386040053 | James Pronesti Audiology Consultant Pllc | Rehabilitation Unit | 9402 Church Ave, Box 121058, Brooklyn, NY 11212-1679 | 2014-11-07 |
| 1881097962 | Atlantic Adult Day Care LLC | Rehabilitation Unit | 111 W End Ave, Brooklyn, NY 11235-4808 | 2014-10-02 |
| 1730589011 | Department of Education | Rehabilitation Unit | 37 Sherman Rd, Farmingdale, NY 11735-2236 | 2014-08-24 |
| 1992137335 | Shield Physical Therapy PC | Rehabilitation Unit | 8523 Broadway, Unit D, Elmhurst, NY 11373-5866 | 2013-08-08 |
| 1689937773 | Meghan D Condron, Physical Therapy, P.C. | Rehabilitation Unit | 933 Lester Rd, Yorktown Heights, NY 10598-2923 | 2012-06-22 |
| 1427314822 | Tinytree O.t, PC | Rehabilitation Unit | 54 Knickerbocker Ave, 2j, Brooklyn, NY 11237 | 2012-04-10 |
| 1730389727 | Kristina Boutchatski | Rehabilitation Unit | 264 72nd St, 1a, Brooklin, NY 11209 | 2007-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST LUKES ROOSEVELT HOSPITAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.