Healthcare Provider Details

I. General information

NPI: 1003764846
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: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 WESTCHESTER AVE
WHITE PLAINS NY
10604-3525
US

IV. Provider business mailing address

400 KELBY ST
FORT LEE NJ
07024-2943
US

V. Phone/Fax

Practice location:
  • Phone: 914-327-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

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