NPIMap

Organization Active NPI

Trustees Columbia University City Ny Center Interventional Vascular TH

Doing business as Center Interventional Vascular Therapy

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1174556823
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
TRUSTEES COLUMBIA UNIVERSITY CITY NY CENTER INTERVENTIONAL VASCULAR TH
Doing business as
Center Interventional Vascular Therapy
Practice address
161 Fort Washington Ave
6TH Floor Hip
New York, NY 10032-3729
Phone
(212) 342-3616
NPI assigned
Jul 8, 2006
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne M.J Quan
Title
Senior Vice President/Chief Officer
Phone
(212) 342-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

161 Fort Washington Ave
6TH Floor Hip
New York, NY 10032-3729

Mailing address

630 W 168TH St
Box 4
New York, NY 10032-3725

Other identifiers 1

IdentifierTypeStateIssuer
02719313MedicaidNY

Other names 1

  • Center Interventional Vascular Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Waters Pl
Ste M113
Bronx, NY 10461
Phone (718) 792-4500

423 E 138th St
Bronx, NY 10454
Phone (718) 292-0100

200 E Eckerson Rd
Ste 210
New City, NY 10956
Phone (845) 454-4028

77 Quaker Ridge Rd
Ste 200A
New Rochelle, NY 10804
Phone (914) 235-8224

16 E 60th St
Ste 330
New York, NY 10022
Phone (212) 326-5508

161 Fort Washington Ave
Fl 5
New York, NY 10032
Phone (212) 305-4000

1 Expressway Plz
Roslyn Heights, NY 11577
Phone (516) 256-0442

701 N Broadway
#9
Sleepy Hollow, NY 10591

344 Route 202
Somers, NY 10589
Phone (914) 245-1072

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1174556823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "BOX 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "6TH FLOOR HIP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-342-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES COLUMBIA UNIVERSITY CITY NY CENTER INTERVENTIONAL VASCULAR TH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M.J",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/CHIEF OFFICER",
        "authorized_official_telephone_number": "212-342-2939"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02719313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Interventional Vascular Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.