NPIMap

Organization Active NPI

New Presbyterian Hospital

  • Podiatric Clinic/Center
  • New York, NY
National Provider Identifier
1649489717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
N002541 Issued in NY
Legal business name
NEW PRESBYTERIAN HOSPITAL
Practice address
622 W 168TH St # VC2-205
New York, NY 10032-3720
Phone
(212) 305-6262
Fax
(212) 305-6279
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William P Jacobs, DPM
Title
Orthopedic Podiatrist
Phone
(212) 305-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X N002541 NY Primary

Addresses

Primary practice location

622 W 168TH St # VC2-205
New York, NY 10032-3720

Mailing address

155 W 71St St Apt 1C
New York, NY 10023-3887
Phone (212) 877-3522

Other identifiers 1

IdentifierTypeStateIssuer
00414333MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
New Presbyterian Hospital3 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649489717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 71ST ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233887",
            "telephone_number": "212-877-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST # VC2-205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6262",
            "fax_number": "212-305-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORTHOPEDIC PODIATRIST",
        "authorized_official_telephone_number": "212-305-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N002541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00414333",
            "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 Aug 22, 2020; 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.