Icahn School of Medicine at Mount Sinai

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Doing business as

Dentistry Department of Mount Sinai

Practice address

One Gustave L. Levy Place
New York, NY 10029

Phone

(212) 241-0300

Fax

(212) 996-9793

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Macneill

Title

Vice President, Cbo Director

Phone

(646) 605-8112

Specialties & licenses 7

Addresses

Other names 1

• Dentistry Department of Mount Sinai Doing business as

Tax ID family

Dentistry Department of Mount Sinai2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dentistry Department of Mount Sinai

  • Dentist
  • New York, NY
  • NPI 1215321989
  NPD tax ID

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1083091250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L. LEVY PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-0300",
            "fax_number": "212-996-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L. LEVY PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-0300",
            "fax_number": "212-996-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VICE PRESIDENT, CBO DIRECTOR",
        "authorized_official_telephone_number": "646-605-8112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry Department of Mount Sinai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Icahn School of Medicine at Mount Sinai (Liver Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Psychiatry Department of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Rheumatology Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Medicine Department of Mount Sinai BI)
• Icahn School of Medicine at Mount Sinai (Urology Department of Mount Sinai BI)
• Icahn School of Medicine at Mount Sinai (Mount Sinai Hospital Based Providers)
• Icahn School of Medicine at Mount Sinai (Surgery Department of Mount Sinai BI)
• Icahn School of Medicine at Mount Sinai (The Institute for Advanced Medicine)
• Icahn School of Medicine at Mount Sinai (Orthopedic Dept of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (MS NYEE Otolaryngology)

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.