NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1124392212
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Practice address
5 E 98TH St
Second Floor
New York, NY 10029-6501
Phone
(212) 241-8470
Fax
(212) 241-3023
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Crystal Macneill
Title
Cbo, Vice President
Phone
(646) 605-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5 E 98TH St
Second Floor
New York, NY 10029-6501

Mailing address

P.O. Box 28082
New York, NY 10087-8082
Phone (212) 987-3100

Other names 1

  • OB/GYN Department 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
O20120910000003 NY Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 137 practitioners
Practice locations: New York, NY; Jackson Heights, NY; North Tarrytown, NY; Oceanside, NY; Roslyn, NY; Valhalla, NY; West Islip, NY; White Plains, NY…
O20131018001625 NJ Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 19 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paramus, NJ; Teaneck, NJ; Ridgewood, NJ; Long Branch, NY; Englewood Cliffs, NJ; Englewood, NJ; Edgewater, NJ; Berkeley Heights, NJ…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

3016 30th Dr
Fl 5
Astoria, NY 11102
Phone (718) 545-0003

1664 E 14th St
Brooklyn, NY 11229
Phone (718) 954-3800

465 Ocean Pkwy
Fl G
Brooklyn, NY 11218

200 W 57th St
Fl 10
New York, NY 10019
Phone (212) 523-6333

135 W 27th St
New York, NY 10001
Phone (212) 594-7171

1468 Madison Ave
Fl 33220
New York, NY 10029

20 E 46th St
Rm 403
New York, NY 10017
Phone (212) 879-4742

1000 10th Ave
Ste 10B
New York, NY 10019

10 Union Sq E
#3E
New York, NY 10003
Phone (212) 420-2365

200 W 57th St
Ste 1001
New York, NY 10019
Phone (212) 663-6604

230 W 17th St
Fl 7
New York, NY 10011

2 W 86th St
Apt 3A
New York, NY 10024
Phone (212) 603-4173

10 Union Sq E
Ste 2BCD
New York, NY 10003

10 Union Sq E
Ste Np
New York, NY 10003

Practitioners & affiliated clinicians

Practitioners 1,830

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,830

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1124392212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28082",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100878082",
            "telephone_number": "212-987-3100",
            "fax_number": "646-605-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-8470",
            "fax_number": "212-241-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CBO, VICE PRESIDENT",
        "authorized_official_telephone_number": "646-605-8112"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB/GYN Department 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 Jun 24, 2015; 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.