Icahn School of Medicine at Mount Sinai

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Practice address

1203 Avenue J FL 2
Brooklyn, NY 11230-3669

Phone

(718) 252-5800

NPI assigned

Aug 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Gresham

Title

VP Network Operations

Phone

(212) 659-9038

Specialties & licenses 3

Addresses

Other names 1

• MT SINAI DOCTORS BK MULTISPECIALTY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1013498419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303669",
            "telephone_number": "718-252-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303669",
            "telephone_number": "718-252-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 Voorhies Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353912",
            "country_code": "US",
            "telephone_number": "718-866-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Kings Hwy Ste I-02",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112342644",
            "country_code": "US",
            "telephone_number": "718-758-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "VP  NETWORK OPERATIONS",
        "authorized_official_telephone_number": "212-659-9038"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT SINAI DOCTORS BK MULTISPECIALTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.