Organization Active NPI

Trustees of Columbia University Columbiadoctors of the Hudson Valley

  • Cardiovascular Disease Physician
  • Suffern, NY
National Provider Identifier
1669770756
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY COLUMBIADOCTORS OF THE HUDSON VALLEY
Practice address
222 Route 59 Ste 302
Suffern, NY 10901-5208
Phone
(845) 368-0100
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mark McDougle
Title
SVP/Chief Operating Officer
Phone
(212) 305-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

222 Route 59 Ste 302
Suffern, NY 10901-5208

Mailing address

630 W 168TH St # 4
New York, NY 10032-3725
Phone (212) 342-5155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1669770756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-342-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 302",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "845-368-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY COLUMBIADOCTORS OF THE HUDSON VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "MCDOUGLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-305-6607"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.