Active NPI
Icahn School of Medicine at Mount Sinai
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1306151865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (212) 241-4141
- NPI assigned
- Aug 9, 2010
- Organization subpart
- Yes
- Parent organization
- MOUNT SINAI HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Francis Pabon
- Title
- Cbo Director
- Phone
- (646) 605-8067
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
150 E 42ND. Street
10TH Floor
New York, NY 10017-5626
Phone (212) 987-3100
Other names 1
- Mount Sinai Visiting Doctors
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110329000415 | NY | Part B Supplier - Clinic/Group Practice | 2860675824 |
Receives reassigned benefits from 9 practitioners Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Part of
- Mt Sinai Hospital of Qu
Locations
108 Delancey St
New York, NY 10002
Phone (212) 677-2157
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1477877165
Internal Medicine, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1306151865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 42ND. STREET",
"address_2": "10TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175626",
"telephone_number": "212-987-3100",
"fax_number": "646-605-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-241-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOUNT SINAI HOSPITAL",
"enumeration_date": "2010-08-09",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "PABON",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "CBO DIRECTOR",
"authorized_official_telephone_number": "646-605-8067",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Sinai Visiting Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New York, NY
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
- Icahn School of Medicine at Mount Sinai
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.