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Organization Active NPI

Mount Sinai Hospital

Doing business as Mount Sinai Speciality Pharmacy

  • Specialty Pharmacy
  • New York, NY
National Provider Identifier
1083200695
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
MOUNT SINAI HOSPITAL
Doing business as
Mount Sinai Speciality Pharmacy
Practice address
1468 Madison Ave
Annenberg Building, MC Level
New York, NY 10029
Phone
(212) 256-2904
Fax
(212) 731-3049
NPI assigned
Dec 17, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Debra Jaeger
Title
Senior Vice President, Cro
Phone
(646) 605-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

1468 Madison Ave
Annenberg Building, MC Level
New York, NY 10029

Mailing address

One Gustave L Levy Place, Box 6000
New York, NY 10029
Phone (212) 256-2904

Other names 1

  • Mount Sinai Speciality Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210128000118 NY Part B Supplier - Pharmacy 1153219431 Practice locations: New York, NY
O20221013000703 NY DME Supplier - Pharmacy 1153219431 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1468 Madison Ave
Bldg Mc
New York, NY 10029
Phone (212) 241-7720

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Sinai HospitalNew York, NY, CCN 33T024 Hospital Operational/Managerial Control Sep 23, 2011
Mount Sinai HospitalNew York, NY, CCN 33S024 Hospital Operational/Managerial Control May 24, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1083200695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GUSTAVE L LEVY PLACE, BOX 6000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-256-2904",
            "fax_number": "212-731-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MADISON AVE",
            "address_2": "ANNENBERG BUILDING, MC LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-256-2904",
            "fax_number": "212-731-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CRO",
        "authorized_official_telephone_number": "646-605-7350"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Sinai Speciality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Sinai Speciality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.