Organization 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
National Provider Identifier
1275640609
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Adolescent Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • North Shore Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1097603Mount Sinai Doctors Long Island - Mohs Laboratory5 Cuba Hill Road, Greenlawn, NY 11740ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

View all 582

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",
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            "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.

Verify at the official NPI Registry.