NPIMap

Organization Active NPI

Weill Medical College of Cornell

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1417990649
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Practice address
215 East 85TH Street
New York, NY 10028
Phone
(646) 962-7300
Fax
(646) 962-0409
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Ann F Adenbaum
Title
Senior Director
Phone
(646) 962-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

215 East 85TH Street
New York, NY 10028

Mailing address

575 Lexington Ave
Suite 500
New York, NY 10022-6102
Phone (646) 962-2543

Other names 1

  • WEILL CORNELL MEDICAL ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118000661 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 985 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20240918001542 FL Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

Other NPIs on the same Medicare enrollment 18

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

View all 18

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
33D0715320Weill Cornell Medical Associates - East Side215 E 85TH Street, New York, NY 10028Provider-performed microscopyMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2817 Jackson Ave
Long Island City, NY 11101

38 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 879-7777

1315 York Ave
New York, NY 10021
Phone (212) 746-5077

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1417990649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "646-962-2543",
            "fax_number": "646-962-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EAST 85TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "646-962-7300",
            "fax_number": "646-962-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "ADENBAUM",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "646-962-5487"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEILL CORNELL MEDICAL ASSOCIATES",
            "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 Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.