Icahn School of Medicine at Mount Sinai

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Doing business as

Pediatric Department of Mount Sinai

Practice address

500 7TH Ave FL 8
New York, NY 10018-4502

Phone

(212) 731-7895

Fax

(212) 731-6788

NPI assigned

Dec 28, 2011

Last updated

Jul 8, 2015By 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

Crystal Macneill

Title

VP, Cbo Director

Phone

(646) 605-8112

Specialties & licenses 13

Addresses

Other names 1

• Pediatric Department of Mount Sinai Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Faculty Practice Associates Mount Sinai School of Medicine

  dba Mount Sinai Emergency Physicians-West Side

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1154696615

  O20120315000035

  Same enrollment
• Icahn School of Medicine at Mount Sinai

  dba Pulmonary Division of Mount Sinai

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1518228550

  O20120315000035

  Same enrollment
• Icahn School of Medicine at Mount Sinai

  dba Head and Neck Surgery Department of Otolaryngology

  • Otolaryngology Physician
  • New York, NY
  • NPI 1538407176

  O20120315000035

  Same enrollment

Locations

Practitioners 398

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.

• Antoine Tony Abed, MD

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1275608341
  Medicare reassignment Care Compare group NPD
• Krislee Acevedo

  • Audiologist
  • New York, NY
  • NPI 1598462616
  Medicare reassignment Care Compare group NPD
• Nikita Agrawal, M.D.

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1083145916
  Medicare reassignment Care Compare group NPD
• Romina Arceo, NP

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1699111856
  Medicare reassignment Care Compare group NPD
• Thomas F Barrett Jr., MD

  • Otolaryngology Physician
  • Rochester, NY
  • NPI 1427542570
  Medicare reassignment Care Compare group NPD
• David M Barris, MD

  • Pediatric Cardiology Physician
  • New York, NY
  • NPI 1477084390
  Medicare reassignment Care Compare group NPD
• Christian Dirk Becker, M.D., PH.D.

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1629241369
  Medicare reassignment Care Compare group NPD
• Corinne Benchimol, D.O.

  • Pediatric Nephrology Physician
  • New York, NY
  • NPI 1700853355

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Michael Harrison Berger, MD

  • Otolaryngology Physician
  • New York, NY
  • NPI 1952836900
  Medicare reassignment Care Compare group NPD
• Morton Borg, MD

  • Pediatric Cardiology Physician
  • New York, NY
  • NPI 1003891474

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Sonali Bose, MD

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1912024464
  Medicare reassignment Care Compare group NPD
• Jason Zachary Bronstein, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1922322817

  Pediatrics

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1275802811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST 42ND. STREET",
            "address_2": "10TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175626",
            "telephone_number": "646-605-8119",
            "fax_number": "646-605-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 7TH AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184502",
            "telephone_number": "212-731-7895",
            "fax_number": "212-731-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VP, CBO DIRECTOR",
        "authorized_official_telephone_number": "646-605-8112"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Department of Mount Sinai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Icahn School of Medicine at Mount Sinai (Orthopedic Department of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Renal Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Critical Care Department of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Endocrinology Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai
• Icahn School of Medicine at Mount Sinai
• Icahn School of Medicine at Mount Sinai (Mount Sinai Visiting Doctors)
• Icahn School of Medicine at Mount Sinai (General Medical Associates of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Emergency Medical Associates)
• Icahn School of Medicine at Mount Sinai (Rehabilitation Medicine Associates Department of Mount Sinai.)

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.