NPIMap

Organization Active NPI

New York University

Doing business as NYU School of Medicine Professional Services

  • Urology Physician
  • Englewood, NJ
National Provider Identifier
1831405000
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU School of Medicine Professional Services
Practice address
350 Engle St
Englewood, NJ 07631-1808
Phone
(877) 648-2964
NPI assigned
Aug 26, 2010
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 Med Ctr Clinical Affairs
Phone
(212) 263-2672

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU
Orthopaedic Surgery Physician 207X00000X NU
Vascular Surgery Physician 2086S0129X NU
Urology Physician 208800000X NU Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

350 Engle St
Englewood, NJ 07631-1808

Mailing address

1 Park Ave
10TH FL
New York, NY 10016-5802
Phone (877) 648-2964

Other names 1

  • NYU School of Medicine Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081106000106 NJ Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 67 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodcliff Lake, NJ; Newark, NJ; Morristown, NJ; Millburn, NJ; Hackensack, NJ; Englewood, NJ; Jersey City, NJ

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
NYU Neurosurgery Associates

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 62

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 62

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1831405000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK AVE",
            "address_2": "10TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165802",
            "telephone_number": "877-648-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "877-648-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2010-08-26",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP FOR MED CTR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2672"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU School of Medicine Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.