Medical Services of Mount Sinai, P.C.

Organization Active NPI Neurological Surgery Physician · West Islip, NY

NPI 1184482804 · NPPES record last updated Mar 7, 2024

Key facts

NPI
1184482804
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
MEDICAL SERVICES OF MOUNT SINAI, P.C.
Practice address
1175 Montauk Hwy
West Islip, NY 11795-4939
Phone
(833) 666-6066
NPI assigned
Mar 7, 2024
Organization subpart
No

Authorized official

Name
Mrs. Michele L Cusack
Title
Executive VP & Cfo
Phone
(516) 321-6058

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240606001525 NY Part B Supplier - Clinic/Group Practice 7810439775 Receives reassigned benefits from 1 practitioner
Practice locations: West Islip, NY; Huntington, NY; Holbrook, NY; Bay Shore, NY

National Provider Directory

Locations

722 Montauk Hwy
West Islip, NY 11795
Phone (631) 337-7698

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207T00000X Yes

Addresses

Primary practice location

1175 Montauk Hwy
West Islip, NY 11795-4939

Mailing address

1175 Montauk Hwy
West Islip, NY 11795-4939
Phone (833) 666-6066

Other providers in West Islip, NY

All providers in West Islip, NY · Neurological Surgery Physician in New York

Sources for this page

Verify at the official NPI Registry.