Organization Active NPI

The Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
National Provider Identifier
1265598783
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Practice address
161 Fort Washington Ave
8TH Floor
New York, NY 10032-3729
Phone
(212) 305-6625
Fax
(212) 304-7819
NPI assigned
Dec 29, 2006
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Lee Goldman, M.D.
Title
Executive Vice President
Phone
(212) 305-2752

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X
Transplant Surgery Physician 204F00000X
Gastroenterology Physician 207RG0100X
Psychiatry Physician 2084P0800X
Surgery Physician 208600000X Primary
Surgical Critical Care Physician 2086S0102X
Pediatric Surgery Physician 2086S0120X
Plastic and Reconstructive Surgery Physician 2086S0122X
Vascular Surgery Physician 2086S0129X
Surgical Oncology Physician 2086X0206X
Colon & Rectal Surgery Physician 208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Transplant Hepatology Physician 207RT0003X
Pediatric Transplant Hepatology Physician 2080T0004X

Addresses

Primary practice location

161 Fort Washington Ave
8TH Floor
New York, NY 10032-3729

Mailing address

400 Kelby Street, Box 47
Columbia University, 11TH Floor
Fort Lee, NJ 07024-2938
Phone (212) 305-6625

Other identifiers 2

IdentifierTypeStateIssuer
DO0751OtherNYRAILROAD MEDICARE
03179908MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000623 NY Part B Supplier - Clinic/Group Practice 4688772395 Receives reassigned benefits from 132 practitioners
Practice locations: Suffern, NY; Yonkers, NY; White Plains, NY; Sleepy Hollow, NY; New York, NY; Bronx, NY; Bronxville, NY; Cortlandt Manor, NY…

National Provider Directory

National Provider Directory

Locations

400 Kelby St
Fl 11
Fort Lee, NJ 07024

400 Kelby St
Ste 9
Fort Lee, NJ 07024

161 Fort Washington Ave
#5
New York, NY 10032
Phone (212) 342-4743

3959 Broadway
Rm 2276
New York, NY 10032

622 W 168th St
#14C
New York, NY 10032

127 Broadway
Yonkers, NY 10701
Phone (914) 591-3271

Practitioners & affiliated clinicians

Practitioners 158

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 158

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1265598783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KELBY STREET, BOX 47",
            "address_2": "COLUMBIA UNIVERSITY, 11TH FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242938",
            "telephone_number": "212-305-6625",
            "fax_number": "212-304-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-6625",
            "fax_number": "212-304-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "212-305-2752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080T0004X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Transplant Hepatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO0751",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03179908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2017; 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.

Verify at the official NPI Registry.