Organization Active NPI

Weill Medical College of Cornell

Doing business as CUMC Pediatrics

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1629018205
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Doing business as
CUMC Pediatrics
Practice address
525 E 68TH St
Box 585
New York, NY 10021-4870
Phone
(212) 590-5741
Fax
(212) 590-5798
NPI assigned
Jun 8, 2006
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Christopher T. Kells
Title
Associate Director
Phone
(212) 590-5741

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080A0000X
Pediatric Clinical & Laboratory Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080I0007X
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0006X
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0008X
Pediatric Allergy/Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0201X
Pediatric Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0202X
Pediatric Critical Care Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0203X
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0204X
Pediatric Endocrinology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0205X
Pediatric Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0206X
Pediatric Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0207X
Pediatric Infectious Diseases PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0208X
Pediatric Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0210X
Pediatric Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0216X

Addresses

Primary practice location

525 E 68TH St
Box 585
New York, NY 10021-4870

Mailing address

525 E 68TH St
Box 585
New York, NY 10021-4870
Phone (212) 590-5741

Other names 1

  • CUMC Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory

Locations (25 of 34)

186 Joralemon St
Fl 4
Brooklyn, NY 11201
Phone (646) 962-4600

1305 York Ave
Fl 5
New York, NY 10021
Phone (646) 962-2231

211 E 80th St
New York, NY 10075
Phone (212) 746-2158

3959 Broadway
Frnt 1
New York, NY 10032
Phone (212) 305-5827

3959 Broadway
Ste Chn
New York, NY 10032

425 E 61st St
Fl 2
New York, NY 10065

428 E 72nd St
Ofc 100
New York, NY 10021
Phone (212) 746-3576

505 E 68TH St
New York, NY 10065

505 E 70th St
#150
New York, NY 10021

505 E 70th St
#279
New York, NY 10021
Phone (646) 962-4303

505 E 73Rd St HT5
New York, NY 10021

525 E 68th St
#176
New York, NY 10065

525 E 68th St
#23
New York, NY 10065
Phone (212) 746-0904

525 E 68th St
#309
New York, NY 10065

525 E 68th St
#437
New York, NY 10065

525 E 68th St
#578
New York, NY 10065

525 E 68th St
#F666
New York, NY 10065
Phone (212) 746-3561

525 E 68th St
#F667
New York, NY 10065

525 E 68th St
#G6329
New York, NY 10065

525 E 68th St
#M416
New York, NY 10065

525 E 68th St
#M506
New York, NY 10065

525 E 68th St
#M508
New York, NY 10065
Phone (212) 746-0308

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

525 E 68th St
#M602
New York, NY 10065
Phone (212) 746-3392

525 E 68th St
Fl 6
New York, NY 10065
Phone (212) 746-3561

Practitioners & affiliated clinicians

Practitioners 241

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 241

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1629018205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 585",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "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": "525 E 68TH ST",
            "address_2": "BOX 585",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-590-5741",
            "fax_number": "212-590-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "KELLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "212-590-5741"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080I0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUMC Pediatrics",
            "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 May 17, 2013; 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.