NPIMap

Organization Active NPI

New York University

Doing business as NYU Bariatric Surgery Associates

  • Surgery Physician
  • New York, NY
National Provider Identifier
1831140177
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Bariatric Surgery Associates
Practice address
530 1St Ave
SK 10S
New York, NY 10016-6402
Phone
(212) 263-3166
NPI assigned
May 12, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Andrew T Rubin
Title
Sr. Asst. Dean for Clinical Affairs
Phone
(212) 263-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

530 1St Ave
SK 10S
New York, NY 10016-6402

Mailing address

530 1St Ave
SK 10S
New York, NY 10016-6402
Phone (212) 263-3166

Other names 1

  • NYU Bariatric Surgery Associates 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
Dr J Thomas Roland105 organizations share this tax ID, including this one
Part of
Dr J Thomas Roland

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

Locations

530 1st Ave
#10S
New York, NY 10016
Phone (212) 263-1019

5B Medical Park Dr
Pomona, NY 10970
Phone (845) 362-3111

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1831140177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SK 10S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "address_2": "SK 10S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR. ASST. DEAN FOR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2824"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Bariatric Surgery 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 19, 2008; 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.