WEILL MEDICAL COLLEGE OF CORNELL (NPI# 1811005754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811005754 |
| Entity Type | Organization |
| Organization Name | WEILL MEDICAL COLLEGE OF CORNELL |
| Other Organization Name | CORNELL PEDIATRIC INTENSIVE CARE |
| Practice Address |
575 Lexington Ave Suite 500 New York NY 10022-6102 |
| Mailing Address |
525 E 68th St Box 585 New York NY 10021-4870 |
| Practice Telephone | 2125905151 |
| Practice Fax Number | 2125905798 |
| Mailing Telephone | 2127463558 |
| Mailing Fax Number | 2127463988 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | PAIGE BUTLER (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 2125905151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02691638 | 05 |
| Other Name | Type Code |
|---|---|
| Cornell Pediatric Intensive Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003211194 | Weill Medical College of Cornell | Specialist | 101-24 Queens Blvd, Ste A, Forest Hills, NY 11375-2703 | 2014-10-31 |
| 1871692210 | Weill Medical College of Cornell | Psychologist | 525 East 68th Sreet, Box 171 Rm F-1228 Dept. of Pyschiatry, New York, NY 10065-4870 | 2006-09-22 |
| 1174634406 | Weill Medical College of Cornell | Psychiatry & Neurology | 520 East 70th St., F610, New York, NY 10021-4870 | 2006-08-31 |
| 1417990649 | Weill Medical College of Cornell | Internal Medicine | 215 East 85th Street, New York, NY 10028 | 2006-06-14 |
| 1144729385 | Weill Medical College of Cornell | Internal Medicine | 520 E 70th St # St4, New York, NY 10021-9800 | 2018-02-02 |
| 1710491568 | Weill Medical College of Cornell | Emergency Medicine | 525 E 68th St, New York, NY 10065-4870 | 2017-11-30 |
| 1336510643 | Weill Medical College of Cornell | Internal Medicine | 520 E 70th St, New York, NY 10021 | 2015-10-13 |
| 1033590674 | Weill Medical College of Cornell | Internal Medicine | 55 Greene Ave, Brooklyn, NY 11238-6406 | 2015-06-09 |
| 1649650383 | Weill Medical College of Cornell | Internal Medicine | 934 Manhattan Ave, Brooklyn, NY 11222-5928 | 2015-06-08 |
| 1700266442 | Weill Medical College of Cornell | Internal Medicine | 55 Greene Ave, Brooklyn, NY 11238-6406 | 2015-06-08 |
| Street Address |
575 LEXINGTON AVE SUITE 500 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144278524 | Abby Sims | Physical Therapist | 575 Lexington Ave, 2ns Floor, New York, NY 10022-6102 | 2006-05-05 |
| 1821648825 | Allen Thompkins | Physical Therapist | 575 Lexington Ave, New York, NY 10022-6102 | 2019-09-12 |
| 1447819800 | Nina Kansagra | Physical Therapist | 575 Lexington Ave, New York, NY 10022-6102 | 2019-06-10 |
| 1295127009 | Sonia Basra | Physical Therapist | 575 Lexington Ave, Nysc, New York, NY 10022-6102 | 2015-03-03 |
| 1215343074 | Kaitlin Grace Causin | Behavioral Analyst | 575 Lexington Ave, Suite 4-079, New York, NY 10022-6102 | 2014-07-01 |
| 1649600859 | Christopher Nugent | Pharmacist | 575 Lexington Ave, New York, NY 10022-6102 | 2013-11-25 |
| 1962839852 | Cornell University Medical College | General Acute Care Hospital | 575 Lexington Ave, 540, New York, NY 10022-6102 | 2013-10-09 |
| 1962758862 | Sandra Lynn Stewart | Physician Assistant | 575 Lexington Ave, New York, NY 10022-6102 | 2012-07-28 |
| 1154603561 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 575 Lexington Ave, New York, NY 10022-6102 | 2011-09-12 |
| 1730460809 | Kristen Crisara | Physical Therapist | 575 Lexington Ave, New York, NY 10022-6102 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1023341583 | Rishma Chand | Pediatrics | 344 W 12th St, Apt 3d, New York, NY 10014-1707 | 2009-09-15 |
| 1568604031 | Ramon E Gist | Pediatrics | 525 E 68th St Rm M508, New York, NY 10065-4870 | 2009-03-31 |
| 1073770913 | Michelle Marie Ramirez-joglar | Pediatrics | 525 E 68th St # M-501, New York, NY 10065-4870 | 2008-05-19 |
| 1194862516 | Robert Stanley Hum | Pediatrics | 3959 Broadway # Chn10-24, New York, NY 10032-1559 | 2007-02-01 |
| 1356403042 | Mayank Shukla | Pediatrics | 345 E 37th St Rm 319, New York, NY 10016-3256 | 2006-12-16 |
| 1396701389 | Robert Mansfield | Pediatrics | 36 W 84th St, Apt 1b, New York, NY 10024-4739 | 2006-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.