North Shore Medical Group of the Mount Sinai School of Medicine
Organization Active NPI Internal Medicine Physician · Greenlawn, NY
NPI 1275640609 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1275640609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
- Practice address
- 5 Cuba Hill Rd
Greenlawn, NY 11740-1624 - Phone
- (631) 628-5000
- Fax
- (631) 351-8247
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Janet Street
- Title
- VP Operations
- Phone
- (646) 354-3680
Other NPIs on the same Medicare enrollment 8
Practitioners 582
-
Richard L Addes, DO
-
David Aharonoff, MD
-
Sumayya Ahmad, M.D.
-
Barbara A. Allis, M.D.
-
Emre Altinmakas, MD
-
James J Anarella, D.P.M
-
Neetha Reddy Angelino, M.D.
-
Robin Lynn Arias, PA
-
Neha Arora, D.O.
-
Sachal H Badlani, MD
-
Micaela F Bayard, M.D.
-
Kenneth J Becker, MD
-
Ajit Belliappa, MD
-
Mathew Birnbaum, MD
-
Jonathan A. Boxer, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1097603 | Mount Sinai Doctors Long Island - Mohs Laboratory | Compliance | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040320000412 | NY | Part B Supplier - Clinic/Group Practice | 8921999087 |
Receives reassigned benefits from 579 practitioners 8 other NPIs on this enrollment |
National Provider Directory
Locations
510 Broadhollow Rd
Melville, NY 11747
Phone (516) 248-2422
8452 63rd Ave
Middle Vlg, NY 11379
Phone (718) 446-4600
2 Lincoln Ave
Rockville Ctr, NY 11570
Phone (516) 390-2850
1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Adolescent Medicine (Family Medicine) Physician |
207QA0000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Nephrology Physician |
207RN0300X | |||
| Ophthalmology Physician |
207W00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Facial Plastic Surgery Physician |
207YS0123X | |||
| Neurology Physician |
2084N0400X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Vascular Surgery Physician |
2086S0129X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Mailing address
5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000
Other practice location 1
2510 30th Ave
Long Island City, NY 11102-2448
Phone (718) 932-1000
Other practice location 2
2020 Wantagh Ave
Wantagh, NY 11793-3931
Phone (516) 961-4545
Other practice location 3
1086 N Broadway
Yonkers, NY 10701-1112
Phone (914) 968-3535
Other practice location 4
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
Other practice location 5
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500
Other practice location 6
1441 South Ave
Staten Island, NY 10314-3779
Phone (332) 243-6900
Other practice location 7
1977 Flatbush Ave
Brooklyn, NY 11234-2811
Phone (718) 758-7070
Other practice location 8
3131 Kings Hwy Ste 3-03
Brooklyn, NY 11234-2644
Phone (718) 758-7022
Other practice location 9
1100 Franklin Ave Ste 203
Garden City, NY 11530-1601
Phone (516) 248-2422
Other practice location 10
2520 30th Ave
Astoria, NY 11102-2448
Phone (718) 808-7777
Other practice location 11
3722 82nd St
Jackson Heights, NY 11372-7040
Phone (718) 879-1600
Other practice location 12
3712 82nd St
Jackson Heights, NY 11372-7032
Phone (718) 879-1600
Other practice location 13
3014 Crescent St
Astoria, NY 11102-3249
Phone (718) 808-7777
Other practice location 14
341 Central Park Ave
Scarsdale, NY 10583-1301
Phone (914) 370-5000
Other practice location 15
1436 Broadway
Hewlett, NY 11557-1405
Phone (516) 563-7200
Other practice location 16
510 Broadhollow Rd
Melville, NY 11747-3671
Phone (516) 248-2422
Other practice location 17
9901 Queens Blvd
Rego Park, NY 11374-4512
Phone (718) 520-6100
Other practice location 18
1155 Northern Blvd
Manhasset, NY 11030-3040
Phone (516) 407-4000
Other names
- Mount Sinai Doctors Long Island
- North Shore Medical Group
Other providers in Greenlawn, NY
- Movement Sciences Physical Therapy
- Movement Sciences Physical Therapy PC
- Gregory Muhs
- Katherine Murphy
- Keith Nelson
- North Shore Tbi Services, Inc.
- David Nussbaum
- Alexander O'Connell
- Kensy Orcel
- Juli Michelle Osborne
All providers in Greenlawn, NY · Internal Medicine 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 May 14, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.