Healthcare Provider Details

I. General information

NPI: 1215038096
Provider Name (Legal Business Name): ST. BARNABAS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 THIRD AVENUE ST BARNABAS HOSPITAL
BRONX NY
10457-2545
US

IV. Provider business mailing address

4422 3RD AVENUE ST BARNABAS HOSPITAL-MENTAL INPATIENT
BRONX NY
10457-2545
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-3867
  • Fax: 718-960-6465
Mailing address:
  • Phone: 718-960-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number7000014H
License Number StateNY

VIII. Authorized Official

Name: MR. MARY GROCHOWSKI
Title or Position: CFO/SR. VICE PRESIDENT
Credential:
Phone: 718-960-3839