Active NPI
Trustees of Columbia University in the City of New York
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
- Practice address
- 622 W 168TH St
New York, NY 10032 - Phone
- (646) 317-7111
- Fax
- (212) 304-6470
- NPI assigned
- Dec 1, 2017
- Last updated
- Feb 7, 2023
- Organization subpart
- Yes
- Parent organization
- TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Michael McKiernan, MD
- Title
- Ceo and Senior Vice Dean
- Phone
- (212) 305-5526
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nuclear Medicine Physician | 207U00000X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032
Mailing address
400 Kelby St Ste 8
Fort Lee, NJ 07024-2938
Phone (212) 304-6309
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Other | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151201002613 | NY | Part B Supplier - Clinic/Group Practice | 8527972546 |
Receives reassigned benefits from 3,950 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20180906002514 | NY | Part B Supplier - Independent Clinical Laboratory | 8527972546 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
O20151201002613
-
- Surgery Physician
- New York, NY
- NPI 1508266347
O20151201002613
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
O20151201002613
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1992356521
O20180906002514
National Provider Directory
National Provider Directory- Part of
- Physician Billing Assoc
Locations (25 of 43)
400 Kelby St
Fort Lee, NJ 07024
Phone (212) 304-6309
4513 Manhattan College Pkwy
Bronx, NY 10471
Phone (718) 862-7217
1 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-5956
685 White Plains Rd
Eastchester, NY 10709
Phone (914) 787-4100
2200 Northern Blvd
Ste 132
Greenvale, NY 11548
Phone (212) 342-0886
20 Walnut St
Ste A
Montgomery, NY 12549
Phone (845) 457-3979
1130 Saint Nicholas Ave
New York, NY 10032
Phone (212) 305-9335
161 Fort Washington Ave
#11
New York, NY 10032
Phone (212) 305-0157
180 Fort Washington Ave
#R
New York, NY 10032
Phone (212) 326-8441
185 Wadsworth Ave
New York, NY 10033
Phone (212) 781-1803
19 W 34th St
New York, NY 10001
Phone (212) 661-3461
2256 2nd Ave
New York, NY 10029
Phone (516) 304-8020
349 Cabrini Blvd
New York, NY 10040
Phone (212) 927-8218
37 W 65th St
Fl 7
New York, NY 10023
Phone (844) 387-2273
4360 Broadway
New York, NY 10033
Phone (917) 521-3800
5 Columbus Cir
Fl 15
New York, NY 10019
Phone (212) 305-1813
506 Fort Washington Ave
Apt 1F
New York, NY 10033
Phone (212) 568-0553
506 Lenox Ave
#P522
New York, NY 10037
Phone (212) 491-1582
506 Lenox Ave
Ste 522
New York, NY 10037
Phone (212) 939-1000
5141 Broadway
Fl 3
New York, NY 10034
Phone (212) 932-4000
519 W 114th St
New York, NY 10027
Phone (212) 854-2284
525 E 68th St
Ste F677
New York, NY 10065
Phone (212) 305-5975
534 W 135th St
New York, NY 10031
Phone (212) 491-2300
622 W 168th St
#142
New York, NY 10032
Phone (212) 305-6180
622 W 168th St
#4C408
New York, NY 10032
Phone (646) 317-7111
Practitioners & affiliated clinicians
Practitioners 3,946
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- New York, NY
- NPI 1891804746
-
- Colon & Rectal Surgery Physician
- New York, NY
- NPI 1104024462
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1659935526
-
- Family Medicine Physician
- New York, NY
- NPI 1215322383
-
- Audiologist
- New York, NY
- NPI 1265193445
-
- Nurse Practitioner
- New York, NY
- NPI 1881876415
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1154671873
-
- Ophthalmology Physician
- New York, NY
- NPI 1023404175
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Potsdam, NY
- NPI 1831241629
-
- Acute Care Nurse Practitioner
- New York, NY
- NPI 1588068233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1699289488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KELBY ST STE 8",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242938",
"telephone_number": "212-304-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "646-317-7111",
"fax_number": "212-304-6470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
"enumeration_date": "2017-12-01",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "MCKIERNAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO AND SENIOR VICE DEAN",
"authorized_official_telephone_number": "212-305-5526",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HL7 FHIR",
"address_1": "622 W 168th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HL7 FHIR",
"address_1": "622 W 168th St",
"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
- Trustees of Columbia University in the City of New York (Columbia Presbyterian Radiologists)
- Trustees of Columbia University in the City of New York
- Trustees of Columbia University in the City of New York
- Trustees of Columbia University in the City of New York (Department of Dermatology)
- Trustees of Columbia University in the City of New York (Columbia Orthopedics)
- Trustees of Columbia University in the City of New York (Columbia Presbyterian Neuro-Interventional Radiology)
- Trustees of Columbia University in the City of New York (Kreitcman Pet Center)
- Trustees of Columbia University in the City of New York
- Trustees of Columbia University in the City of New York
- Trustees of Columbia University in the City of New York (Department of Ophthalmology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.