The Trustees of Columbia University in the City of New York

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Practice address

3959 Broadway
CHN 2-216
New York, NY 10032-1559

Phone

(212) 305-8402

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Lee Goldman, M.D

Title

Executive Vice President

Phone

(212) 305-2752

Specialties & licenses 1

Addresses

Other names 1

• Department of Surgery Pediatric Surgery Other name

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700942257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "CHN 2-216",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "212-305-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "CHN 2-216",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "212-305-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "212-305-2752",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Surgery Pediatric Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Trustees of Columbia University in the City of New York
• The Village Occupational & Speech Therapy, PLLC
• The Wave Mental Health Counseling PLLC
• The Wellness Care NP in Family Health PC

• Pediatric Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.