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New York University

Organization Active NPI Internal Medicine Physician · Brooklyn, NY

NPI 1801030630 · NPPES record last updated Apr 23, 2009

Key facts

NPI
1801030630
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
NEW YORK UNIVERSITY
Practice address
101 Broadway
Suite 301
Brooklyn, NY 11211-6034
Phone
(718) 384-5179
NPI assigned
Apr 23, 2009
Organization subpart
Yes
Parent organization (as reported)
NEW YORK UNIVERSITY

Authorized official

Name
Andrew T Rubin
Title
VP for Medical Center Clinical Affs
Phone
(212) 263-2824

Other NPIs on the same Medicare enrollment 35

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

View all 35

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

  • Jacob Walfish, M.D. Internal Medicine Physician · New York, NY · NPI 1194763011
    NPD INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

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…

National Provider Directory

Tax ID family
NYU Anesthesia Assoc (104 organizations share this tax ID)
Part of
NYU Anesthesia Assoc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Cardiovascular Disease Physician
Group: 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

  • NYU Medical - Williamsburg Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2009.

{
    "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

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

Sources for this page

Verify at the official NPI Registry.