NPIMap

Organization Active NPI

Trustees of Columbia University in the City of New York

Doing business as Columbia Presbyterian Radiologists

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1467560854
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Doing business as
Columbia Presbyterian Radiologists
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-9335
Fax
(212) 305-8636
NPI assigned
Aug 27, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Ms. Virtudes Reyes
Title
Credentailing Coordinator
Phone
(212) 305-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

630 W 168TH St # 28
New York, NY 10032-3725
Phone (212) 305-1948

Other identifiers 2

IdentifierTypeStateIssuer
WR4411OtherNYEMPIRE BCBS
02186203MedicaidNY

Other names 1

  • Columbia Presbyterian Radiologists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001241 NY Part B Supplier - Clinic/Group Practice 3072403393 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
Practice locations: Tarrytown, NY; New York, NY; Bronxville, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Columbia Presbyterian Radiologists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 W 168th St
#28
New York, NY 10032
Phone (212) 305-1948

710 W 168th St
#B41
New York, NY 10032
Phone (212) 305-7346

722 W 168th St
Fl R1
New York, NY 10032
Phone (212) 342-2899

Practitioners & affiliated clinicians

Practitioners 247

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 247

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1467560854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-1948",
            "fax_number": "212-305-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-9335",
            "fax_number": "212-305-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VIRTUDES",
        "authorized_official_title_or_position": "CREDENTAILING COORDINATOR",
        "authorized_official_telephone_number": "212-305-6912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "WR4411",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Presbyterian Radiologists",
            "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 Nov 12, 2014; 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.