Trustees of Columbia University

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TRUSTEES OF COLUMBIA UNIVERSITY

Doing business as

Harlem Faculty Practice

Practice address

506 Malcolm X Blvd
WP 522
New York, NY 10037-1802

Phone

(212) 939-2740

Fax

(212) 939-2759

NPI assigned

Jul 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jagadeesh Bellapu

Title

Associate Director

Phone

(212) 939-2740

Specialties & licenses 1

Addresses

Other names 1

• HARLEM FACULTY PRACTICE Doing business as

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891712972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "WP 522",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2740",
            "fax_number": "212-939-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "WP 522",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2740",
            "fax_number": "212-939-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLAPU",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "212-939-2740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARLEM FACULTY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trusted Remedy LLC
• Trustees Columbia University City Ny Center Interventional Vascular TH (Center Interventional Vascular Therapy)
• Trustees of Columbia in the City of New York (Columbia University Dermatology Associates)
• Trustees of Columbia Univeristy in the City of New York Associates
• Trustees of Columbia University (Trustees of Columbia Univ in Ny)
• Trustees of Columbia University (Harlem Faculty Practice - Oral)
• Trustees of Columbia University (Phys. Care Pych Liason)
• Trustees of Columbia University - SCM
• Trustees of Columbia University Adult Ekg Group
• Trustees of Columbia University Department of Rehabilitation Medicine

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.