Active NPI
Mount Sinai Hospital of Queens
- Medical Physician Assistant
- Long Island City, NY
National Provider Identifier
1134492549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 015446
- Legal business name
- MOUNT SINAI HOSPITAL OF QUEENS
- Practice address
- 2510 30TH Ave
Long Island City, NY 11102-2448 - Phone
- (718) 932-7151
- NPI assigned
- Feb 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary McCollin
- Title
- Director, Medical Staff Services
- Phone
- (718) 932-7151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 015446 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Long Island City, NY 11102-2448
Mailing address
2510 30TH Ave
Long Island City, NY 11102-2448
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1134492549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-932-7151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT SINAI HOSPITAL OF QUEENS",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "MCCOLLIN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF SERVICES",
"authorized_official_telephone_number": "718-932-7151"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "015446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
- Mount Sinai Hospital (Mount Sinai Hospital of Queens House Staff)
- Mount Sinai Hospital
- Mount Sinai Hospital (MS Queens Multispecialty Physician)
- Mount Sinai Hospital (Senior Care Center Mount Sinai Hospital of Queens)
- Mount Sinai Hospital (Mount Sinai Hospital of Queens EKG)
- Mount Sinai Hospital of Queens Pathology
- Mount Sinai Hospital Queens
- Sarah Moy, RN
- Kelsey Moyer
- MSHQ Emergency Care Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.