NPIMap

Organization Active NPI

New York University

Doing business as NYU Langone Medical Associates Harrison

  • Internal Medicine Physician
  • Harrison, NY
National Provider Identifier
1679397491
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Langone Medical Associates Harrison
Practice address
450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430
Phone
(914) 556-4960
Fax
(914) 265-9164
NPI assigned
Nov 8, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Andrew Rubin
Title
Sr, VP Clinical Affairs & Amb Care
Phone
(212) 263-2672

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Orthopaedic Surgery Physician 207X00000X
Physical Medicine & Rehabilitation Physician 208100000X
Podiatrist 213E00000X
Physical Therapist 225100000X

Addresses

Primary practice location

450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430

Mailing address

450 Mamaroneck Ave Ste 200
Harrison, NY 10528-2430
Phone (914) 556-4960

Other names 1

  • NYU Langone Medical Associates Harrison Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203001240 NY DME Supplier - Physician - General Practice 1355232422 Practice locations: Harrison, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2315334NYU Langone Medical Associates - Harrison450 Mamaroneck Ave - Suite 200, Harrison, NY 10528Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
New York University School of Medicine105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

450 Mamaroneck Ave
Ste 200
Harrison, NY 10528
Phone (888) 636-7840

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NYU Langone HospitalsNew York, NY, CCN 330214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone Hospitals Psychiatric UnitNew York, NY, CCN 33S214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone HospitalsMineola, NY, CCN 33021401 Hospital Operational/Managerial Control Aug 1, 2019
NYU Langone Amb Care CommackGarden City, NY, CCN 337187 Home health agency Operational/Managerial Control Apr 1, 2015

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1679397491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 200",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-556-4960",
            "fax_number": "914-265-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 200",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-556-4960",
            "fax_number": "914-265-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SR, VP CLINICAL AFFAIRS & AMB CARE",
        "authorized_official_telephone_number": "212-263-2672"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Langone Medical Associates Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.