Active NPI
Taylor Bryan Sewell, MD, MBA
- Pediatrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 288683
- Practice address
- 3959 Broadway
New York, NY 10032 - Phone
- (212) 305-6227
- NPI assigned
- May 21, 2014
- Last updated
- Sep 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 288683 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
New York, NY 10032
Mailing address
622 W 168TH St, VC4-417
New York, NY 10032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.pediatrics.columbia.edu | Other |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288683 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Pediatrics | Current | Accepting new 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 | Pediatrics | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
3959 Broadway
New York, NY 10032
Phone (212) 304-7297
610 W 158th St
Fl 2
New York, NY 10032
Phone (212) 304-6408
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
#4417
New York, NY 10032
Phone (212) 305-6227
622 W 168th St
#4449H
New York, NY 10032
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- tas9139@direct.nyp.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Pediatrics
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Pediatrics
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- Specialist
- New York, NY
- NPI 1801074315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568419200000",
"number": "1639581846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST, VC4-417",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-305-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "TAYLOR",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2019-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "288683",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.pediatrics.columbia.edu",
"affiliation": "N",
"endpointDescription": "Columbia University Department of Pediatrics Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Columbia University Department of Pediatrics",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "622 W 168th St, VC4-417",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10032",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.