NPIMap

Organization Active NPI

New York University

Doing business as NYU College of Dentistry, Diagnostic Pathology Laboratory

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1326254608
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA33D0653344 Issued in NY
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU College of Dentistry, Diagnostic Pathology Laboratory
Practice address
345 E 24TH St
Room 844
New York, NY 10010-4020
Phone
(212) 998-9561
Fax
(212) 995-4654
NPI assigned
May 15, 2007
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mr. Martin Dorph
Title
Executive VP, Finance and It
Phone
(212) 992-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLIA33D0653344 NY Primary

Addresses

Primary practice location

345 E 24TH St
Room 844
New York, NY 10010-4020

Mailing address

345 E 24TH St
Room 844
New York, NY 10010-4020
Phone (212) 998-9561

Other names 1

  • NYU College of Dentistry, Diagnostic Pathology Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1034202NYU Bluestone Center345 E 24TH St - Suite 2W, New York, NY 10010Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
New York University School of Medicine105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

345 E 24th St
Rm 844
New York, NY 10010
Phone (212) 998-9561

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1326254608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "address_2": "ROOM 844",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9561",
            "fax_number": "212-995-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "address_2": "ROOM 844",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9561",
            "fax_number": "212-995-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "DORPH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "EXECUTIVE VP, FINANCE AND IT",
        "authorized_official_telephone_number": "212-992-8282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "CLIA33D0653344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU College of Dentistry, Diagnostic Pathology Laboratory",
            "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 Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.