Active NPI
Weill Cornell
- Dental Clinic/Center
- New York, NY
National Provider Identifier
1841652914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WEILL CORNELL
- Practice address
- 1300 York Ave
New York, NY 10065-4805 - Phone
- (845) 926-4968
- NPI assigned
- Mar 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Yana Kapustina, DDS
- Title
- Resident Gpy-1
- Phone
- (917) 696-1497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1300 York Ave
New York, NY 10065-4805
Mailing address
174 Bay 29TH St
Brooklyn, NY 11214-5020
Phone (917) 696-1497
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0653376 | Laboratory of Dermatopathology-Weill Cornell | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- College of Veterinary Medicine
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Institutional Pharmacy
- Ithaca, NY
- NPI 1851714752
-
- Student Health Clinic/Center
- Ithaca, NY
- NPI 1073584926
-
- Clinic/Center
- Ithaca, NY
- NPI 1336276179
-
- Dental Clinic/Center
- New York, NY
- NPI 1437511268
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459123200000",
"number": "1841652914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 BAY 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145020",
"telephone_number": "917-696-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654805",
"telephone_number": "845-926-4968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEILL CORNELL",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A",
"authorized_official_last_name": "KAPUSTINA",
"authorized_official_first_name": "YANA",
"authorized_official_title_or_position": "RESIDENT GPY-1",
"authorized_official_telephone_number": "917-696-1497",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.