Trustees of Columbia University

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TRUSTEES OF COLUMBIA UNIVERSITY

Doing business as

Harlem Faculty Practice - Oral

Practice address

506 Lenox Ave
WP Building, 7TH Floor, Room 742
New York, NY 10037-1802

Phone

(212) 939-3501

NPI assigned

Apr 20, 2009

Last updated

Apr 20, 2009By 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

Ms. Sudha Pentyala

Title

Director

Phone

(718) 579-6021

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harlem Faculty Practice - Oral Doing business as

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1952544033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE",
            "address_2": "WP BUILDING, 7TH FLOOR, ROOM 742",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371889",
            "telephone_number": "212-939-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "address_2": "WP BUILDING, 7TH FLOOR, ROOM 742",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF COLUMBIA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "PENTYALA",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-579-6021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02866071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlem Faculty Practice - Oral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• 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
• Trustees of Columbia University Dept of Obstetrics and GYN Ultrasound

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.