Active NPI
Mount Sinai School of Medicine
- Cardiovascular Disease Physician
- Jamaica, NY
National Provider Identifier
1326207705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MOUNT SINAI SCHOOL OF MEDICINE
- Practice address
- 143 05 Hillside Avenue
Jamaica, NY 11435 - Phone
- (718) 297-0440
- NPI assigned
- Jun 2, 2008
- 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
- Yusef Collins
- Title
- Credentialing Coordinator
- Phone
- (212) 241-0896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
143 05 Hillside Avenue
Jamaica, NY 11435
Mailing address
1 Gustave L Levy Place
Box 3000
New York, NY 10029
Phone (212) 987-3100
Other names 1
- CVI Queens Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1326207705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PLACE",
"address_2": "BOX 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-987-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 05 HILLSIDE AVENUE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-297-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT SINAI SCHOOL OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "YUSEF",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "212-241-0896"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVI Queens Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.