NPIMap

Organization Active NPI

Weill Medical College of Cornell

Doing business as Dept. of Brady Urology

  • Urology Physician
  • New York, NY
National Provider Identifier
1306959671
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Doing business as
Dept. of Brady Urology
Practice address
525 E 68TH St
F900 Box 94
New York, NY 10021-4870
Phone
(212) 746-4635
Fax
(212) 746-8448
NPI assigned
Aug 17, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Christopher T. Kells
Title
Associate Director
Phone
(212) 590-5741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

525 E 68TH St
F900 Box 94
New York, NY 10021-4870

Mailing address

575 Lexington Ave
5TH Floor
New York, NY 10022-6102
Phone (212) 590-5741

Other names 1

  • Dept. of Brady Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405001070 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 57 practitioners
Practice locations: New York, NY
O20040501000028 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 290 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Rego Park, NY; Valhalla, NY; White Plains, NY; Yonkers, NY; New Rochelle, NY; Astoria, NY; Bronx, NY…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3041 Avenue U
Ste 2
Brooklyn, NY 11229
Phone (718) 692-0020

535 Clinton Ave
Brooklyn, NY 11238
Phone (917) 410-6905

50 Court St
Brooklyn Heights, NY 11201
Phone (718) 522-3131

21 W Broadway
New York, NY 10007
Phone (212) 300-0663

525 E 68th St
#9W
New York, NY 10065
Phone (212) 746-5457

525 E 68th St
#F900
New York, NY 10065
Phone (212) 746-4635

525 E 68th St
Rm 94931
New York, NY 10065

525 E 68th St
Rm F900
New York, NY 10065
Phone (212) 746-5460

525 E 68th St
Rm F907B
New York, NY 10065
Phone (212) 746-5491

525 E 68th St
Ste 900
New York, NY 10065
Phone (212) 746-5309

525 E 68th St
Ste F9W
New York, NY 10065
Phone (212) 746-4811

Practitioners & affiliated clinicians

Practitioners 80

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 80

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1306959671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-590-5741",
            "fax_number": "212-590-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "F900 BOX 94",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-4635",
            "fax_number": "212-746-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "KELLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "212-590-5741"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept. of Brady Urology",
            "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 Jun 5, 2013; 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.