NPIMap

Organization Active NPI

Weill Medical College of Cornell

Doing business as Cornell Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1417071945
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Doing business as
Cornell Endocrinology
Practice address
525 E 68TH St
Baker Building 20TH Floor
New York, NY 10065-4870
Phone
(212) 746-1503
Fax
(212) 746-8527
NPI assigned
Mar 19, 2007
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

525 E 68TH St
Baker Building 20TH Floor
New York, NY 10065-4870

Mailing address

575 Lexington Ave
Suite 540
New York, NY 10022-6102
Phone (212) 590-5152

Other identifiers 1

IdentifierTypeStateIssuer
01856179MedicaidNY

Other names 1

  • Cornell Endocrinology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000969 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 66 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
WCMC Psychiatry90 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

180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535

211 E 80th St
Fl 3
New York, NY 10075

425 E 61st St
Fl 10
New York, NY 10065
Phone (212) 652-1900

525 E 68th St
#142
New York, NY 10065
Phone (212) 746-1500

525 E 68th St
#15
New York, NY 10065
Phone (212) 746-7884

525 E 68th St
Bldg 20TH
New York, NY 10065
Phone (212) 746-1503

525 E 68th St
Rm F20
New York, NY 10065
Phone (212) 746-6290

Practitioners & affiliated clinicians

Practitioners 89

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 89

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1417071945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "address_2": "SUITE 540",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-590-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BAKER BUILDING 20TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-1503",
            "fax_number": "212-746-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-05-20",
        "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": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell Endocrinology",
            "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 May 20, 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.