NPIMap

Organization Active NPI

New York University

Doing business as NYU Medical - Williamsburg

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1801030630
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Medical - Williamsburg
Practice address
101 Broadway
Suite 301
Brooklyn, NY 11211-6034
Phone
(718) 384-5179
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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 Medical Center Clinical Affs
Phone
(212) 263-2824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

101 Broadway
Suite 301
Brooklyn, NY 11211-6034

Mailing address

101 Broadway
Suite 301
Brooklyn, NY 11211-6034
Phone (718) 384-5179

Other names 1

  • NYU Medical - Williamsburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001569 NY Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1,027 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Oceanside, NY; Pawling, NY; Putnam Valley, NY; Rego Park, NY; Sleepy Hollow, NY; Valhalla, NY; Yorktown Heights, NY…

Other NPIs on the same Medicare enrollment 35

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

View all 35

National Provider Directory

National Provider Directory
Tax ID family
NYU School of Medicine105 organizations share this tax ID, including this one
Part of
NYU School of Medicine

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1801030630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADWAY",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116034",
            "telephone_number": "718-384-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROADWAY",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116034",
            "telephone_number": "718-384-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP FOR MEDICAL CENTER CLINICAL AFFS",
        "authorized_official_telephone_number": "212-263-2824"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Medical - Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.