NPIMap

Organization Active NPI

Nyumc Pediatric Cardiology

  • Pediatric Cardiology Physician
  • New York, NY
National Provider Identifier
1609866268
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
NYUMC PEDIATRIC CARDIOLOGY
Practice address
530 1St Ave
SK 9U
New York, NY 10016-6402
Phone
(212) 263-5808
NPI assigned
Oct 25, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Andrew T. Rubin
Title
Sr. Asst. Dean of Clinicial Affairs
Phone
(212) 263-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X NY Primary

Addresses

Primary practice location

530 1St Ave
SK 9U
New York, NY 10016-6402

Mailing address

530 1St Ave
SK 9U
New York, NY 10016-6402
Phone (212) 263-5808

Other identifiers 1

IdentifierTypeStateIssuer
01569704MedicaidNY

National Provider Directory

National Provider Directory
Part of
Dr J Thomas Roland

Locations

2310 65th St
Ste 2
Brooklyn, NY 11204
Phone (718) 998-0100

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

530 1st Ave
#9U
New York, NY 10016
Phone (212) 263-5940

550 1st Ave
Fl 11
New York, NY 10016

85 5th Ave
Ste 932
New York, NY 10003
Phone (212) 263-0061

928 Broadway
Ste 902
New York, NY 10010
Phone (212) 982-8477

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609866268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SK 9U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SK 9U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYUMC PEDIATRIC CARDIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR. ASST. DEAN OF CLINICIAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2824"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01569704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.