1326148669 NPI number — ST. BARNABAS HOSPITAL

Table of content: (NPI 1326148669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326148669 NPI number — ST. BARNABAS HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. BARNABAS HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326148669
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4422 3RD AVE
Provider Second Line Business Mailing Address:
ST. BARNABAS HOSPITAL- FINANCE DEPT
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10457-2545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-960-3867
Provider Business Mailing Address Fax Number:
718-960-6465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4451 THIRD AVENUE
Provider Second Line Business Practice Location Address:
ST. BARNABAS HOSPITAL
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-2545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-960-3867
Provider Business Practice Location Address Fax Number:
718-960-6465
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GORLEWSKI
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO-SR. VICE PRESIDENT
Authorized Official Telephone Number:
718-960-3867

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  7000014H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7000014H . This is a "SBH OPERATING CERT #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00243361 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1176 . This is a "SBH PFI #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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