NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

Doing business as Orthopedic Dept of Mount Sinai

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1114358348
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Doing business as
Orthopedic Dept of Mount Sinai
Practice address
5 E 98TH St
Box 1188
New York, NY 10029-6501
Phone
(212) 241-6980
Fax
(212) 534-6091
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ICAHN SCHOOL OF MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Marta Moscicka-Tecza
Title
Revenue Cycle Manager
Phone
(212) 241-9203

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

5 E 98TH St
Box 1188
New York, NY 10029-6501

Mailing address

5 E 98TH St
Box 1188
New York, NY 10029-6501
Phone (212) 241-6980

Other names 1

  • ORTHOPEDIC DEPT OF MOUNT SINAI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160831002382 NY Part B Supplier - Clinic/Group Practice 4587950464 Receives reassigned benefits from 94 practitioners
Practice locations: New York, NY; White Plains, NY; Staten Island, NY; Oceanside, NY; New Hyde Park, NY; Long Island City, NY; Huntington, NY
O20161011001542 NJ Part B Supplier - Clinic/Group Practice 4587950464 Receives reassigned benefits from 6 practitioners
Practice locations: Englewood, NJ; Fort Lee, NJ; Hackensack, NJ

National Provider Directory

National Provider Directory
Part of
Icahn School of Medicine at Mount Sinai

Locations

309 Engle St
Englewood, NJ 07631
Phone (201) 503-0447

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

5 E 98th St
Fl 1188
New York, NY 10029

3333 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-3333

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1114358348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1188",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-6980",
            "fax_number": "212-534-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1188",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-6980",
            "fax_number": "212-534-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ICAHN SCHOOL OF MEDICINE",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "MOSCICKA-TECZA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "212-241-9203"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC DEPT OF MOUNT SINAI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.

Verify at the official NPI Registry.