Active NPI
Oral Surgery, Mt. Sinai School of Medicine
- Oral & Maxillofacial Surgery (D.M.D.)
- New York, NY
National Provider Identifier
1336249739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- ORAL SURGERY, MT. SINAI SCHOOL OF MEDICINE
- Practice address
- 1 Gustave L. Levy Place, Box 1187
New York, NY 11209 - Phone
- (212) 241-0300
- Fax
- (212) 996-9793
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 22, 2020
- 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
- Kathaleen Grant, MHSA
- Title
- Administrative Director
- Phone
- (212) 241-0806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
1 Gustave L. Levy Place, Box 1187
New York, NY 11209
Mailing address
1 Gustave L. Levy Place, Box 1187
New York, NY 11209
Phone (212) 241-0300
National Provider Directory
National Provider Directory- Tax ID family
- Mount Sinai Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336249739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE, BOX 1187",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11209",
"telephone_number": "212-241-0300",
"fax_number": "212-996-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. LEVY PLACE, BOX 1187",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11209",
"telephone_number": "212-241-0300",
"fax_number": "212-996-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL SURGERY, MT. SINAI SCHOOL OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "KATHALEEN",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "212-241-0806",
"authorized_official_credential": "MHSA"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.