NPIMap

Organization Active NPI

Mount Sinai School of Medicine

Doing business as Mount Sinai Dermatopathology Services

  • Dermatopathology (Pathology) Physician
  • New York, NY
National Provider Identifier
1316986359
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
CLIA 33D1051889 Issued in NY
Legal business name
MOUNT SINAI SCHOOL OF MEDICINE
Doing business as
Mount Sinai Dermatopathology Services
Practice address
1428 Madison Ave
Atran 610
New York, NY 10029-6508
Phone
(212) 241-6064
Fax
(212) 241-7832
NPI assigned
Jun 5, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI SCHOOL OF MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Douglas A Jabs, M.D., MBA
Title
Chief Executive Officier
Phone
(212) 241-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X CLIA 33D1051889 NY Primary

Addresses

Primary practice location

1428 Madison Ave
Atran 610
New York, NY 10029-6508

Mailing address

1428 Madison Ave
Atran 610
New York, NY 10029-6508
Phone (212) 241-6064

Other names 1

  • MOUNT SINAI DERMATOPATHOLOGY SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Mount Sinai Hospital

Locations

1428 Madison Ave
#610
New York, NY 10029
Phone (212) 241-6064

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1316986359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "address_2": "ATRAN 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-6064",
            "fax_number": "212-241-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "address_2": "ATRAN 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-6064",
            "fax_number": "212-241-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "JABS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICIER",
        "authorized_official_telephone_number": "212-241-6228",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "CLIA 33D1051889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI DERMATOPATHOLOGY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.