Organization Active NPI

Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1699289488
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. James Michael McKiernan, MDNPI 1891804746
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

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.

View all 3,946

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

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.

Verify at the official NPI Registry.