The Trustees of Columbia University in the City of New York

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Practice address

3959 Broadway
8TH Floor
New York, NY 10032-1559

Phone

(212) 305-5974

Fax

(212) 305-6193

NPI assigned

Dec 11, 2014

Organization subpart

Yes

Parent organization

THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORKAs reported in NPPES

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

Authorized official

Name

Mr. Mark McDougle, MPH

Title

Chief Operating Officer

Phone

(212) 305-6607

Specialties & licenses 2

Addresses

Other names 1

• Columbia Orthopedics Doing business as

Part of

Suzanne J Smith

Locations

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1669870390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH-11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-5974",
            "fax_number": "212-305-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "212-305-5974",
            "fax_number": "212-305-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "enumeration_date": "2014-12-11",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MCDOUGLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-305-6607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Village Occupational & Speech Therapy, PLLC

• Pediatric Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.