Active NPI
Mount Sinai Hospital
Doing business as Mount Sinai Hospital of Queens Surgery
- Surgery Physician
- Long Island City, NY
National Provider Identifier
1073545422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MOUNT SINAI HOSPITAL
- Doing business as
- Mount Sinai Hospital of Queens Surgery
- Practice address
- 2510 30TH Ave
Long Island City, NY 11102-2448 - Phone
- (718) 267-4245
- NPI assigned
- Jul 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Klaris
- Title
- Manager
- Phone
- (718) 267-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
2510 30TH Ave
Long Island City, NY 11102-2448
Mailing address
2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4245
Other names 1
- Mount Sinai Hospital of Queens Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000437 | NY | Part B Supplier - Clinic/Group Practice | 1153219431 |
Receives reassigned benefits from 121 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Elmhurst, NY; Flushing, NY; Forest Hills, NY; Jackson Heights, NY; Long Island City, NY; Astoria, NY; Bayside, NY |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Mount Sinai Hospital of Queens House Staff
- Critical Care Medicine (Internal Medicine) Physician
- Long Island City, NY
- NPI 1215953138
O20040421000437
-
dba Mount Sinai Hospital of Queens EKG
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1720004641
O20040421000437
-
- Personal Emergency Response Attendant
- Long Island City, NY
- NPI 1194885830
O20040421000437
-
dba Mount Sinai Queens, Professional Billing
- General Acute Care Hospital
- Long Island City, NY
- NPI 1013948595
O20040421000437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073545422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-267-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-267-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT SINAI HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLARIS",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-267-4245"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Sinai Hospital of Queens Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Island City, NY
- Mary Angela Del Rosario Morrondoz
- Kelli Morse, RN
- Andrea Mortise, RN
- Antoinette Renae Moss, RN
- Gabrielle Moulton, RN
- Mount Sinai Hospital (Mount Sinai Hospital of Queens House Staff)
- Mount Sinai Hospital
- Mount Sinai Hospital (MS Queens Multispecialty Physician)
- Mount Sinai Hospital (Senior Care Center Mount Sinai Hospital of Queens)
- Mount Sinai Hospital (Mount Sinai Hospital of Queens EKG)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.