Trustees of Columbia University in the City of New York

Organization Active NPI Internal Medicine Physician · New York, NY

NPI 1699289488 · NPPES record last updated Feb 7, 2023

Key facts

NPI
1699289488
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 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
Organization subpart
Yes
Parent organization (as reported)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Authorized official

Name
Dr. James Michael McKiernan, MD
Title
Ceo and Senior Vice Dean
Phone
(212) 305-5526

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 3,946

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,946

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY

Medicare enrollment records

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

National Provider Directory

Part of
Suzanne J Smith

Locations (25 of 45)

4626 White Plains Rd
Bronx, NY 10470
Phone (718) 547-4077

1250 Waters Pl
Ste 1206
Bronx, NY 10461
Phone (718) 409-5454

2600 Netherland Ave
Bronx, NY 10463
Phone (718) 601-7505

693 White Plains Rd
Eastchester, NY 10709
Phone (914) 750-4690

180 E Hartsdale Ave
Ste 1E
Hartsdale, NY 10530
Phone (914) 725-2010

141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030

845 Palmer Ave
Mamaroneck, NY 10543
Phone (914) 357-0795

745 State Route 17M
Monroe, NY 10950
Phone (845) 782-3200

380 2nd Ave
New York, NY 10010
Phone (212) 253-6600

701 W 168th St
#1408
New York, NY 10032
Phone (212) 305-6094

722 W 168th St
Fl 1
New York, NY 10032

180 Fort Washington Ave
#R
New York, NY 10032
Phone (212) 326-8441

622 W 168th St
Fl 4
New York, NY 10032
Phone (212) 305-3394

97 Fort Washington Ave
Apt 1C
New York, NY 10032
Phone (212) 342-1480

349 Cabrini Blvd
New York, NY 10040
Phone (212) 927-8218

630 W 168th St
Rm 11453
New York, NY 10032
Phone (212) 305-9706

500 W 160th St
New York, NY 10032
Phone (212) 928-0739

506 Lenox Ave
#P522
New York, NY 10037
Phone (212) 491-1582

2920 Broadway
New York, NY 10027
Phone (212) 854-2878

161 Fort Washington Ave
#11
New York, NY 10032
Phone (212) 305-0157

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

1035 3rd Ave
New York, NY 10065

1244 Amsterdam Ave
New York, NY 10027
Phone (212) 305-4552

5141 Broadway
Fl 3
New York, NY 10034
Phone (212) 932-4000

701 W 168th St
New York, NY 10032
Phone (212) 305-3605

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Nuclear Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207U00000X
Molecular Genetic Pathology (Pathology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207ZP0007X
Anatomic Pathology & Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207ZP0102X
Pediatric Emergency Medicine (Pediatrics) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2080P0204X
Neuroradiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085N0700X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X
Vascular & Interventional Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0204X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X

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

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

Other providers in New York, NY

All providers in New York, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.