Active NPI
Weill Medical College of Cornell
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- WEILL MEDICAL COLLEGE OF CORNELL
- Practice address
- 520 E 70TH St # ST4
New York, NY 10021-9800 - Phone
- (646) 962-5558
- NPI assigned
- Feb 2, 2018
- Last updated
- Feb 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fabiane De Souza
- Title
- Enrollment Coordinator
- Phone
- (646) 962-2543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
520 E 70TH St # ST4
New York, NY 10021-9800
Mailing address
575 Lexington Ave RM 540
New York, NY 10022-6145
Phone (646) 962-2543
Other names 1
- Adult Congenital Heart Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180711001946 | NY | Part B Supplier - Clinic/Group Practice | 6800709023 |
Receives reassigned benefits from 5 practitioners Practice locations: New York, NY; Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
1957 Westchester Ave
Bronx, NY 10462
Phone (347) 851-6633
2960 Ocean Ave
Ste 6
Brooklyn, NY 11235
Phone (646) 382-7742
55 Greene Ave
Ste Llb
Brooklyn, NY 11238
Phone (718) 789-5900
4604 31st Ave
Ofc 1
Long Island City, NY 11103
Phone (347) 808-7200
933 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 698-2056
1305 York Ave
#12
New York, NY 10021
Phone (646) 962-6200
1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281
1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020
1305 York Ave
Ste 12
New York, NY 10021
Phone (646) 962-6200
156 William St
Lowr
New York, NY 10038
Phone (646) 962-3686
254 W 10th St
New York, NY 10014
Phone (212) 627-2270
41 Elizabeth St
New York, NY 10013
Phone (212) 219-0534
41 Elizabeth St
Ste 507
New York, NY 10013
Phone (212) 966-8890
413 E 69th St
New York, NY 10021
Phone (410) 458-4717
425 E 61st St
#5
New York, NY 10065
Phone (646) 962-7378
425 E 61st St
Ste 8
New York, NY 10065
Phone (212) 746-0923
428 E 72nd St
Ofc 600
New York, NY 10021
Phone (212) 746-4371
525 E 68th St
#2109
New York, NY 10065
Phone (212) 746-5196
525 E 68th St
#F734
New York, NY 10065
Phone (212) 746-5593
525 E 68th St
#F818W
New York, NY 10065
Phone (212) 746-2484
525 E 68th St
Rm J314
New York, NY 10065
Phone (212) 746-4158
530 E 70th St
New York, NY 10021
Phone (212) 746-4720
575 E 68th St
New York, NY 10065
Phone (646) 962-2012
G Po 29886
New York, NY 10087
2381 Hylan Blvd
Ste Ah
Staten Island, NY 10306
Phone (718) 967-6696
Practitioners & affiliated clinicians
Practitioners 3,452
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1235814427
-
- Adult Congenital Heart Disease Physician
- New York, NY
- NPI 1992456537
-
- Acute Care Nurse Practitioner
- New York, NY
- NPI 1114446622
-
- Adult Congenital Heart Disease Physician
- New York, NY
- NPI 1841224342
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Mineola, NY
- NPI 1417110883
-
- Anesthesiology Physician
- New York, NY
- NPI 1114160074
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1003298993
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962678474
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1366599755
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1659379626
-
- Surgery Physician
- New York, NY
- NPI 1093247975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1144729385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE RM 540",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226145",
"telephone_number": "646-962-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 70TH ST # ST4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "646-962-5558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A",
"authorized_official_last_name": "DE SOUZA",
"authorized_official_first_name": "FABIANE",
"authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "646-962-2543"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult Congenital Heart Disease",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Weill Medical College of Cornell
- Weill Medical College of Cornell (Heart Failure Starr 4)
- Weill Medical College of Cornell (Cumc Women's Healthcare)
- Weill Medical College of Cornell
- Weill Medical College of Cornell (WCMC Benign Hematology)
- Weill Medical College of Cornell
- Weill Medical College of Cornell (Nyph / WCMC Crna's)
- Weill Medical College of Cornell (NYHCMC Neurology Car)
- Weill Medical College of Cornell (Cornell Cardiac Electrop)
- Weill Medical College of Cornell (Cornell Emer.Dept.Phsyicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.