Organization
NYU LUTHERAN MEDICAL CENTER
Active
Organization
NYU LUTHERAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DELLACERRA V.P. (VP OF MANAGED CARE & REVENUE COMPLI)
(718) 630-7103
Entity
Organization
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7000
(718) 630-7437
Mailing address
5800 3RD AVE, LUTHERAN MEDICAL CENTER-MANAGED CARE DEPT, BROOKLYN, NY 11220-3702
(718) 630-7103
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
7001019H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001841
BLUE CROSS BLUE SHIELD
NY
05
—
00243729
—
NY
01
—
3189449
GHI
NY
01
—
44800
WELLCARE
NY
01
—
90011
ELDERPLAN
NY
01
—
F0065
HIP
NY
01
—
H04049
OXFORD
NY
Enumeration date
05/24/2006
Last updated
08/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up