NPIMap

Organization Active NPI

Trustees of Columbia University in the City of New York

  • Transplant Surgery Physician
  • New York, NY
National Provider Identifier
1790739217
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Practice address
622 W 168TH St
PH14-C
New York, NY 10032-3720
Phone
(212) 305-0914
Fax
(212) 305-4343
NPI assigned
May 20, 2006
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 Apr 15, 2008

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

Authorized official

Name
Mr. John Eric Sandhusen, MPH
Title
Director of Compliance
Phone
(212) 305-6788

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X Primary
Hepatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0008X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

622 W 168TH St
PH14-C
New York, NY 10032-3720

Mailing address

622 W 168TH St
PH14 - 105
New York, NY 10032-3720
Phone (212) 305-6788

Other names 1

  • Center for Liver Disease and Transplantation Doing business as

National Provider Directory

National Provider Directory
Part of
Suzanne J Smith

Locations

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

5 Station Sq
Forest Hills, NY 11375
Phone (718) 520-0700

622 W 168th St
Fl 14
New York, NY 10032
Phone (212) 305-6788

622 W 168th St
Ph 14C
New York, NY 10032
Phone (212) 305-4146

Practitioners & affiliated clinicians

Practitioners 80

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

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1790739217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH14 - 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6788",
            "fax_number": "212-305-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH14-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-0914",
            "fax_number": "212-305-4343"
        }
    ],
    "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": "2006-05-20",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SANDHUSEN",
        "authorized_official_first_name": "JOHN ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "212-305-6788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Liver Disease and Transplantation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2008; 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.