Active NPI
North Shore Medical Group of the Mount Sinai School of Medicine
Doing business as Mount Sinai Doctors Long Island
- Internal Medicine Physician
- Greenlawn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
- Doing business as
- Mount Sinai Doctors Long Island
North Shore Medical Group - Practice address
- 5 Cuba Hill Rd
Greenlawn, NY 11740-1624 - Phone
- (631) 628-5000
- Fax
- (631) 351-8247
- NPI assigned
- Aug 23, 2006
- Last updated
- May 14, 2026
- 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
- Janet Street
- Title
- VP Operations
- Phone
- (646) 354-3680
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| 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
1436 Broadway
Hewlett, NY 11557-1405
Phone (516) 563-7200
Other practice location 2
1155 Northern Blvd
Manhasset, NY 11030-3040
Phone (516) 407-4000
Other practice location 3
9901 Queens Blvd
Rego Park, NY 11374-4512
Phone (718) 520-6100
Other practice location 4
510 Broadhollow Rd
Melville, NY 11747-3671
Phone (516) 248-2422
Other practice location 5
2020 Wantagh Ave
Wantagh, NY 11793-3931
Phone (516) 961-4545
Other practice location 6
1086 N Broadway
Yonkers, NY 10701-1112
Phone (914) 968-3535
Other practice location 7
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
Other practice location 8
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500
Other practice location 9
1441 South Ave
Staten Island, NY 10314-3779
Phone (332) 243-6900
Other practice location 10
1977 Flatbush Ave
Brooklyn, NY 11234-2811
Phone (718) 758-7070
Other practice location 11
3131 Kings Hwy Ste 3-03
Brooklyn, NY 11234-2644
Phone (718) 758-7022
Other practice location 12
1100 Franklin Ave Ste 203
Garden City, NY 11530-1601
Phone (516) 248-2422
Other practice location 13
2520 30th Ave
Astoria, NY 11102-2448
Phone (718) 808-7777
Other practice location 14
3722 82nd St
Jackson Heights, NY 11372-7040
Phone (718) 879-1600
Other practice location 15
3712 82nd St
Jackson Heights, NY 11372-7032
Phone (718) 879-1600
Other practice location 16
2510 30th Ave
Long Island City, NY 11102-2448
Phone (718) 932-1000
Other practice location 17
3014 Crescent St
Astoria, NY 11102-3249
Phone (718) 808-7777
Other practice location 18
341 Central Park Ave
Scarsdale, NY 10583-1301
Phone (914) 370-5000
Other names 2
- Mount Sinai Doctors Long Island
- North Shore Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba North Shore Medical Group
- Internal Medicine Physician
- Hauppauge, NY
- NPI 1811224868
O20040320000412
-
dba North Shore Medical Group
- Pediatric Urology Physician
- Huntington, NY
- NPI 1639317043
O20040320000412
-
dba North Shore Medical Group
- Internal Medicine Physician
- Commack, NY
- NPI 1144431701
O20040320000412
-
dba North Shore Medical Group
- Gastroenterology Physician
- Huntington, NY
- NPI 1164623278
O20040320000412
-
dba North Shore Medical Group
- Dermatology Physician
- Huntington, NY
- NPI 1649382532
O20040320000412
-
dba North Shore Medical Group
- Body Imaging Physician
- Huntington, NY
- NPI 1902918899
O20040320000412
-
- Gastroenterology Physician
- Nesconset, NY
- NPI 1962646091
O20040320000412
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
O20040320000412
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1097603 | Mount Sinai Doctors Long Island - Mohs Laboratory | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230
510 Broadhollow Rd
Melville, NY 11747
Phone (516) 248-2422
341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309
Practitioners & affiliated clinicians
Practitioners 582
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.
-
- Orthopaedic Surgery Physician
- Huntington, NY
- NPI 1093733545
-
- Family Medicine Physician
- East Rockaway, NY
- NPI 1861569964
-
- Ophthalmology Physician
- Long Island City, NY
- NPI 1760777064
-
- Pediatrics Physician
- Greenlawn, NY
- NPI 1255783387
-
- Surgical Critical Care Physician
- Valley Stream, NY
- NPI 1750460408
-
- Neurology Physician
- Huntington, NY
- NPI 1659386324
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1013657964
-
- Podiatrist
- Jackson Heights, NY
- NPI 1952378267
-
- Endocrinology, Diabetes & Metabolism Physician
- Astoria, NY
- NPI 1942568514
-
- Hospitalist Physician
- Oceanside, NY
- NPI 1528356433
-
- Physician Assistant
- West Sayville, NY
- NPI 1316963663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1275640609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CUBA HILL RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117401624",
"telephone_number": "631-628-5000",
"fax_number": "631-351-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CUBA HILL RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117401624",
"telephone_number": "631-628-5000",
"fax_number": "631-351-8247"
}
],
"practiceLocations": [
{
"address_1": "1436 Broadway",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "115571405",
"country_code": "US",
"telephone_number": "516-563-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1155 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303040",
"country_code": "US",
"telephone_number": "516-407-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9901 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113744512",
"country_code": "US",
"telephone_number": "718-520-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Broadhollow Rd",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117473671",
"country_code": "US",
"telephone_number": "516-248-2422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 Wantagh Ave",
"address_purpose": "LOCATION",
"city": "Wantagh",
"state": "NY",
"postal_code": "117933931",
"country_code": "US",
"telephone_number": "516-961-4545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1086 N Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011112",
"country_code": "US",
"telephone_number": "914-968-3535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "516-632-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1441 South Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103143779",
"country_code": "US",
"telephone_number": "332-243-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1977 Flatbush Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112342811",
"country_code": "US",
"telephone_number": "718-758-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3131 Kings Hwy Ste 3-03",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112342644",
"country_code": "US",
"telephone_number": "718-758-7022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Franklin Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115301601",
"country_code": "US",
"telephone_number": "516-248-2422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2520 30th Ave",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111022448",
"country_code": "US",
"telephone_number": "718-808-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3722 82nd St",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "113727040",
"country_code": "US",
"telephone_number": "718-879-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3712 82nd St",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "113727032",
"country_code": "US",
"telephone_number": "718-879-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2510 30th Ave",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111022448",
"country_code": "US",
"telephone_number": "718-932-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3014 Crescent St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111023249",
"country_code": "US",
"telephone_number": "718-808-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341 Central Park Ave",
"address_purpose": "LOCATION",
"city": "Scarsdale",
"state": "NY",
"postal_code": "105831301",
"country_code": "US",
"telephone_number": "914-370-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "STREET",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "646-354-3680"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Sinai Doctors Long Island",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Shore Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Shore Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenlawn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.