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

St Lukes Roosevelt Hospital Center Childrens Blended Case Managemen

Organization Pediatrics Physician · NPI 1023554318

St Lukes Roosevelt Hospital Center Childrens Blended Case Managemen provides Pediatrics Physician services in New York, New York. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1090 Amsterdam Ave
New York, NY 10025-1737
Phone: (212) 241-3257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1023554318
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Luke's Roosevelt Hospital
Authorized official Arhima Jacobs — Director Of Govt And Grants · (212) 256-3257
Other names Children'S Blended Case Management
NPI enumeratedJanuary 11, 2017
Last updated in NPPESJanuary 11, 2017
Mailing address150 E 42nd St, New York, NY 10017-5612

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