Icahn School of Medicine at Mount Sinai
Organization Active NPI Orthopaedic Surgery Physician · New York, NY
NPI 1114358348 · NPPES record last updated Dec 13, 2013
Key facts
- NPI
- 1114358348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ICAHN SCHOOL OF MEDICINE AT 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
- Organization subpart
- Yes
- Parent organization (as reported)
- ICAHN SCHOOL OF MEDICINE
Authorized official
- Name
- Marta Moscicka-Tecza
- Title
- Revenue Cycle Manager
- Phone
- (212) 241-9203
Practitioners 95
-
Nikhil Adapa, MD
-
Sarah Ahn, DC
-
Joseph Anthony Bax, D.O.
-
Eugene Michael Bulkin, M.D.
-
Darwin D Chen, MD
-
Alexis Chiang Colvin, M.D
-
David Alexander Forsh, M.D.
-
Leesa M Galatz, MD
-
James Gladstone, MD
-
Melissa Leber, M.D.
-
Alexander J Lee, MD
-
Joseph Lee, M.D.
-
James D Lin, M.D.
-
Bryan C Markinson, DPM
-
Bradford Parsons, M.D.
-
Amanda Walsh, MD
-
Saad B Chaudhary, M.D.
-
Brett Hayden, M.D.
-
Calin S. Moucha, M.D.
-
Matthew Murphy, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Icahn School of Medicine at Mount Sinai
Locations
5 E 98th St
Fl 1188
New York, NY 10029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Pain Medicine Physician |
208VP0000X | |||
| Podiatrist |
213E00000X | |||
| Physician Assistant |
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
- ORTHOPEDIC DEPT OF MOUNT SINAI
Other providers in New York, NY
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
All providers in New York, NY · Orthopaedic Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.