Icahn School of Medicine at Mount Sinai

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Doing business as

Mount Sinai Doctors South Nassau

Practice address

1100 Franklin Ave Ste 203
Garden City, NY 11530-1601

Phone

(516) 494-3027

Fax

(516) 248-5162

NPI assigned

Jul 23, 2019

Last updated

Jul 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Gresham

Title

VP Network Operations

Phone

(212) 659-9038

Specialties & licenses 1

Addresses

Other names 2

• MOUNT SINAI DOCTORS SOUTH NASSAU Doing business as
• CRSSNY Other name

Locations

Practitioners 1

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.

• Christine Lang-Camillery, RPAC

  • Physician Assistant
  • Cedarhurst, NY
  • NPI 1760453906
  NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1245883891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE STE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301601",
            "telephone_number": "516-494-3027",
            "fax_number": "516-248-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE STE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301601",
            "telephone_number": "516-494-3027",
            "fax_number": "516-248-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "VP NETWORK OPERATIONS",
        "authorized_official_telephone_number": "212-659-9038"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI DOCTORS SOUTH NASSAU",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRSSNY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheri Beth Hyman, MSW, LCSW
• Adam Tyler Hymowitz, ATC
• I S Services Inc
• Michele Camille Iacoviello, PA
• Bassiema B Ibrahim, MD
• Igal Rahmani MD PC
• Kelly Imperial, MSW-LP
• Infant Feeding Specialists, Inc
• Infusion Healthcare, LLC
• Inner Peace Mental Health Counseling

• Colon & Rectal Surgery Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.