Provider Demographics
NPI:1649325119
Name:ROCKEFELLER UNIVERSITY HOSPITAL
Entity type:Organization
Organization Name:ROCKEFELLER UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:212-327-7441
Mailing Address - Street 1:1230 YORK AVE
Mailing Address - Street 2:HOSPITAL 322
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6307
Mailing Address - Country:US
Mailing Address - Phone:212-327-7441
Mailing Address - Fax:
Practice Address - Street 1:1230 YORK AVE
Practice Address - Street 2:HOSPITAL 322
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6307
Practice Address - Country:US
Practice Address - Phone:212-327-7441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00273083Medicaid
330387Medicare ID - Type Unspecified