NPIMap

Organization Active NPI

Trustees of Columbia University in the City of New York

Doing business as Columbia Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1376756072
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Doing business as
Columbia Oral & Maxillofacial Surgery
Practice address
630 W 168TH St
Suite VC7-226
New York, NY 10032
Phone
(212) 305-8516
Fax
(212) 305-9017
NPI assigned
May 8, 2007
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Dr. James Michael McKiernan, MD
Title
Chief Executive Officer
Phone
(212) 305-5526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 036028-1 NY

Addresses

Primary practice location

630 W 168TH St
Suite VC7-226
New York, NY 10032

Mailing address

400 Kelby St
Fort Lee, NJ 07024-2943
Phone (212) 853-6414

Other practice location 1

622 W 168th St
New York, NY 10032-3720
Phone (212) 305-4552

Other practice location 2

3959 Broadway
New York, NY 10032-1559
Phone (212) 305-4552

Other practice location 3

177 Fort Washington Ave
New York, NY 10032-3733
Phone (212) 305-4552

Other practice location 4

1244 Amsterdam Ave
New York, NY 10027-5924
Phone (212) 305-4552

Other practice location 5

100 Haven Ave
New York, NY 10032-2645
Phone (212) 342-0107

Other practice location 6

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (212) 305-4552

Other practice location 7

51 W 51st St
New York, NY 10019-6113
Phone (212) 326-8520

Other practice location 8

1244 Amsterdam Ave
New York, NY 10027-5924
Phone (212) 342-2300

Other practice location 9

430 W 116th St
New York, NY 10027-7220
Phone (212) 662-4887

Other names 1

  • Columbia Oral & Maxillofacial Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808003905 NY DME Supplier - Oral Surgery - Dentist 8527972546 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Steven M Roser

Locations

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

622 W 168th St
Fl 3
New York, NY 10032
Phone (953) 521-2305

630 W 168th St
#7226
New York, NY 10032
Phone (212) 305-8516

630 W 168th St
Rm 226
New York, NY 10032
Phone (212) 305-4552

630 W 168th St
Rm 250
New York, NY 10032
Phone (212) 305-7626

630 W 168th St
Ste VC7226
New York, NY 10032
Phone (212) 305-4552

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1376756072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KELBY ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242943",
            "telephone_number": "212-853-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "SUITE VC7-226",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-8516",
            "fax_number": "212-305-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3959 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321559",
            "country_code": "US",
            "telephone_number": "212-305-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323733",
            "country_code": "US",
            "telephone_number": "212-305-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1244 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100275924",
            "country_code": "US",
            "telephone_number": "212-305-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Haven Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100322645",
            "country_code": "US",
            "telephone_number": "212-342-0107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083403",
            "country_code": "US",
            "telephone_number": "212-305-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 W 51st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100196113",
            "country_code": "US",
            "telephone_number": "212-326-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1244 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100275924",
            "country_code": "US",
            "telephone_number": "212-342-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 W 116th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100277220",
            "country_code": "US",
            "telephone_number": "212-662-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "MCKIERNAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "212-305-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "036028-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Oral & Maxillofacial Surgery",
            "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 Mar 18, 2026; 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.