New York University

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

NEW YORK UNIVERSITY

Doing business as

NYU School of Medicine Professional Services

Practice address

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Phone

(212) 263-2824

NPI assigned

Nov 2, 2010

Organization subpart

Yes

Parent organization

NEW YORK UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Andrew T Rubin

Title

VP for Med Ctr Clinical Affairs

Phone

(212) 263-2824

Specialties & licenses 2

Addresses

Other names 1

• NYU School of Medicine Professional Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• New York University

  • Urology Physician
  • Englewood, NJ
  • NPI 1831405000

  O20081106000106

  Same enrollment
• New York University

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1124078373

  O20081106000106

  Same enrollment
• New York University

  • Surgery Physician
  • New York, NY
  • NPI 1134170632

  O20081106000106

  Same enrollment
• New York University

  • Urology Physician
  • New York, NY
  • NPI 1275583452

  O20081106000106

  Same enrollment

Tax ID family

NYU Anesthesia Assoc104 organizations share this tax ID, including this one

Part of

NYU Anesthesia Assoc

Organizations with this tax ID in the same state 1

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

• New York University

  • Orthopaedic Surgery Physician
  • Jersey City, NJ
  • NPI 1134943970
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• New York University

  • Orthopaedic Surgery Physician
  • Jersey City, NJ
  • NPI 1134943970
  NPPES parent name

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1700186095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALL ST",
            "address_2": "9TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052101",
            "telephone_number": "212-263-2824",
            "fax_number": "212-263-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "212-263-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP FOR MED CTR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2824"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU School of Medicine Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Migioia, APN
• Steven Moscola
• Michael David Mufferi, PT
• Dawn K Mutchko, APN-C
• New Jersey CVS Pharmacy LLC
• Sara M Neyers, APN
• Ethan Vinh Nhan, PHARM.D.
• Niranjan G Trivedi M D P C
• Frank Michael O'Connell
• Michael W Panarello, PA-C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.