Individual provider Active NPI

Nobuko Hijiya, MD

  • Pediatric Hematology & Oncology Physician
  • Memphis, TN
National Provider Identifier
1467455279
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
208069 Issued in NY
Practice address
St. Jude Children's Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794
Phone
(901) 495-3006
Fax
(901) 495-3842
NPI assigned
May 24, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 208069 NY Primary

Addresses

Primary practice location

St. Jude Children's Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794

Mailing address

Columbia University Medical Center
161 Fort Washington, Hip7
New York, NY 10032
Phone (212) 305-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423001978 NY Practitioner - Pediatric Medicine 9032247424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208069NYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 16, 2019 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Practice Associates,Inc Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

161 Fort Washington Ave
#7
New York, NY 10032
Phone (212) 305-2466

161 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-7212

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
Ph 5505
New York, NY 10032
Phone (212) 305-6494

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: noh9017@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1467455279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLUMBIA UNIVERSITY MEDICAL CENTER",
            "address_2": "161 FORT WASHINGTON, HIP7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
            "address_2": "332 N LAUDERDALE ST., MS 0515",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052794",
            "telephone_number": "901-495-3006",
            "fax_number": "901-495-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJIYA",
        "first_name": "NOBUKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-30",
        "deactivation_date": "2006-04-03",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "208069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.