Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Lukes-Roosevelt Hospital Center

Organization Chronic Disease Hospital · NPI 1063671352

St Lukes-Roosevelt Hospital Center is a Chronic Disease Hospital in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

1111 Amsterdam Ave C/o Outpatient Pharmacy 3rd Fl
New York, NY 10025-1716 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 636-1122
Fax: (212) 636-1123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chronic Disease Hospital (primary) Taxonomy 281P00000X · Licence 028893 (NY)

Record details

NPI number1063671352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Novak — Pharmacy Supervisor · (212) 636-1122
Other names C/O Outpatient Pharmacy
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008
Mailing address1111 Amsterdam Ave, C/O Outpatient Pharmacy 3rd Floor, New York, NY 10025-1716

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