NPIMap

Organization Active NPI

Weill Medical College of Cornell

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1831100882
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
WEILL MEDICAL COLLEGE OF CORNELL
Practice address
1484 1St Ave
New York, NY 10021-2304
Phone
(212) 746-7000
Fax
(212) 746-4888
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Paige Butler
Title
Assistant Director
Phone
(212) 590-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1484 1St Ave
New York, NY 10021-2304

Mailing address

575 Lexington Ave
Suite 500
New York, NY 10022-6102
Phone (212) 590-5151

Other identifiers 1

IdentifierTypeStateIssuer
01829652MedicaidNY

Other names 1

  • Geriatrics Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040326000833 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 47 practitioners
Practice locations: New York, NY
O20040501000028 NY Part B Supplier - Clinic/Group Practice 6800709023 Receives reassigned benefits from 290 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Rego Park, NY; Valhalla, NY; White Plains, NY; Yonkers, NY; New Rochelle, NY; Astoria, NY; Bronx, NY…

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Locations

1484 1st Ave
#1486
New York, NY 10075
Phone (212) 746-7000

520 E 70th St
Fl 3
New York, NY 10021
Phone (646) 962-6200

1305 York Ave
Fl 12
New York, NY 10021
Phone (646) 962-6200

Practitioners & affiliated clinicians

Practitioners 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1831100882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-590-5151",
            "fax_number": "212-590-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212304",
            "telephone_number": "212-746-7000",
            "fax_number": "212-746-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILL MEDICAL COLLEGE OF CORNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "212-590-5151"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01829652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatrics Associates",
            "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 Jun 17, 2014; 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.