Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Trustees of Columbia University in the City of New York

Organization Nuclear Medicine Physician · NPI 1396396917

Trustees of Columbia University in the City of New York is a Nuclear Medicine Physician in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-9335
Fax: (212) 305-7944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Nuclear Medicine Physician Taxonomy 207U00000X
Neuroradiology Physician Taxonomy 2085N0700X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1396396917
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTrustees of Columbia University in the City of New York
Authorized official James McKiernan — Chief Executive Officer · (212) 305-5526
NPI enumeratedSeptember 25, 2019
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address400 Kelby St, 8th Floor, Clinical Revenue Office, Fort Lee, NJ 07024

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