TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK


Address: 400 Kelby St, 8th Floor Clinical Revenue Office, Fort Lee, NJ 07024-2943
Phone: 2123046408

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK (NPI# 1982993184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982993184
Entity Type Organization
Organization Name TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Other Organization Name COLUMBIADOCTORS AMBULATORY CARE NETWORK
Practice Address 400 Kelby St
8th Floor Clinical Revenue Office
Fort Lee
NJ 07024-2943
Mailing Address 615 W 131st St
New York
NY 10027-7922
Practice Telephone 2123046408
Enumeration Date 2011-03-29
Last Update Date 2014-08-25
Authorized Official Name MS. JOANNE M.J. QUAN (SENIOR VP & CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 2123422939
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
N 204D00000X Neuromusculoskeletal Medicine & OMM Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03845145 05

Other Provider/Organization Names

Other Name Type Code
ColumbiaDoctors Ambulatory Care Network Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568017317 Trustees of Columbia University In The City of New York Orthopaedic Surgery 693 White Plains Rd, Eastchester, NY 10709 2019-08-08
1164692489 Trustees of Columbia University In The City of New York Internal Medicine 161 Fort Washington Ave, 8th Floor, Suite 853, New York, NY 10032-3729 2008-03-03
1992816011 Trustees of Columbia University In The City of New York Radiology 51 West 51st Street Ste 301, New York, NY 10019 2006-08-31
1730297011 Trustees of Columbia University In The City of New York Radiology 722 West 168th Street R1 Fl, New York, NY 10032-3733 2006-08-28
1720196090 Trustees of Columbia University In The City of New York Radiology 622 West 168th Street, Mhb-8 So. Knuckle, New York, NY 10032 2006-08-28
1043328354 Trustees of Columbia University In The City of New York Radiology 51 West 51st Street Ste 300, New York, NY 10019-1951 2006-08-27
1790732352 Trustees of Columbia University In The City of New York Ophthalmology 635 W. 165th Street, New York, NY 10032 2006-05-28
1740899715 Trustees of Columbia University In The City of New York Early Intervention Provider Agency 180 Fort Washington Ave Fl 8, New York, NY 10032-3722 2020-07-27
1992356521 Trustees of Columbia University In The City of New York Medical Genetics 622 W 168th St, New York, NY 10032-3720 2019-09-25
1396396917 Trustees of Columbia University In The City of New York Nuclear Medicine 622 W 168th St, New York, NY 10032-3720 2019-09-25

Office Location

Street Address 400 KELBY ST
8TH FLOOR CLINICAL REVENUE OFFICE
City FORT LEE
State NJ
Zip Code 07024-2943

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043828726 You S Jung Pharmacist 1275 15th Street Apt 2e, Fort Lee, NJ 07024 2020-07-17
1205316528 Professional Orthopedic and Sports Therapy of Nj, LLC Physical Therapist 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 2018-08-16
1194210138 Hyunjoo Lee Pharmacy 168 Fletcher Ave, Fort Lee, NJ 07024 2018-06-22
1912423724 Fort Lee Health Supplies Durable Medical Equipment & Medical Supplies 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 2017-08-15
1669997482 Jinseok Woo Acupuncturist 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 2017-08-14
1578083705 Sheran Rey Licensed Vocational Nurse 6308 Hilltop Ct, Fort Lee, NJ 07024 2017-06-20
1558812909 Jian Cui Acupuncturist 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 2016-10-20
1013392919 Yulong Yang Internal Medicine 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 2015-07-22
1235561796 Anthony Lucev Student in an Organized Health Care Education/Training Program 233 Harmon Ave, Fort Lee, NJ 07024 2013-08-06
1811331598 Bridgeview Rehabilitation and Medical Arts Center Physical Medicine & Rehabilitation 454 Main Street 3rd Floor, Fort Lee, NJ 07024 2013-04-24
Find all providers in zip 07024

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013392919 Yulong Yang Internal Medicine 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 2015-07-22
1740629948 Chang S Park Internal Medicine 200 Old Palisade Rd Apt 1e, Fort Lee, NJ 07024-7057 2013-06-20
1770832024 Firstmed of Nj LLC Internal Medicine 1640 Schlosser St, Suite C-3, Fort Lee, NJ 07024-5606 2012-08-31
1831334200 Bella Shapnik, Md, Pa Internal Medicine 2150 Center Ave Ste 1b, Fort Lee, NJ 07024-5806 2008-12-12
1720267081 Brandon Trevor Howard Internal Medicine 415 Myrtle Ave, Fort Lee, NJ 07024-3912 2007-11-02
1386716579 Sammy Sang-june Bai Internal Medicine 2486 5th St, Fort Lee, NJ 07024-7840 2006-11-14
1407959018 Salvatore Matthew Laraia Internal Medicine 1625 Anderson Av, Fort Lee, NJ 07024 2006-09-07
1184656050 Michael C. K. Lam Internal Medicine 1565 Palisade Ave, Fort Lee, NJ 07024-6911 2006-07-07
1700830098 Michael Hernandez Internal Medicine 6 Horizon Rd, Fort Lee, NJ 07024-6652 2006-05-20
1306824586 Pilar Sabater Internal Medicine 201 Bridge Plz N, Fort Lee, NJ 07024-5909 2006-01-06
Find all providers in FORT LEE

Competitor

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City FORT LEE
Zip Code 07024

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Dataset Information

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.

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