Weill Medical College of Cornell University

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY

Practice address

82 East Allendale Road
Suite 3a
Saddle River, NJ 07458-3057

Phone

(201) 236-1183

Fax

(201) 236-1460

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Christiopher T. Kells

Title

Associate Director Pobo

Phone

(212) 590-5741

Specialties & licenses 1

Addresses

Other names 1

• CARDIOLOGY OUTREACH NJ Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Weill Medical College of Cornell

  • Neurological Surgery Physician
  • Summit, NJ
  • NPI 1255661153

  O20100611000491

  Same enrollment

Tax ID family

Edwina Sai Kho90 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• Weill Medical College of Cornell

  • Neurological Surgery Physician
  • Summit, NJ
  • NPI 1255661153
  NPD tax ID

Practitioners 1

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

• Patrick Culligan, MD

  • Obstetrics & Gynecology Physician
  • Morristown, NJ
  • NPI 1497727721
  NPD

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1447521836",
    "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 CITY",
            "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": "82 EAST ALLENDALE ROAD",
            "address_2": "SUITE 3A",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057",
            "telephone_number": "201-236-1183",
            "fax_number": "201-236-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "KELLS",
        "authorized_official_first_name": "CHRISTIOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR POBO",
        "authorized_official_telephone_number": "212-590-5741"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIOLOGY OUTREACH NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skin Cancer & Mohs Surgery LLC
• Elias Nicholas Tsoukas, M.D.
• Unity Counseling LLC
• Brahmaji Valiveti, R.PH
• Valskys Pain and Anesthesia, PC
• Bonnie A. Weiss, LMFT
• Samantha Wilk, OTR/L
• John Winn, DC
• Mingzhi Yang

• Cardiovascular Disease Physician in Saddle River, NJ
• Providers in Saddle River, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.