Healthcare Provider Details

I. General information

NPI: 1184022881
Provider Name (Legal Business Name): TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WHITE PLAINS RD SUITE 105, EAST WING
TARRYTOWN NY
10591
US

IV. Provider business mailing address

400 KELBY ST
FORT LEE NJ
07024-2943
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-5974
  • Fax: 212-305-6193
Mailing address:
  • Phone: 212-853-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAMES MICHAEL MCKIERNAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 212-305-5526