NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

Doing business as Mount Sinai Heart Ny Palm Beach

  • Cardiovascular Disease Physician
  • Jupiter, FL
National Provider Identifier
1356722425
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Doing business as
Mount Sinai Heart Ny Palm Beach
Practice address
600 University Blvd
Suite 200
Jupiter, FL 33458-2778
Phone
(561) 627-2601
Fax
(561) 627-2130
NPI assigned
Jun 15, 2015
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Janet Street
Title
Sr Director Operations
Phone
(212) 659-9036

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X FL
Cardiovascular Disease Physician 207RC0000X Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

600 University Blvd
Suite 200
Jupiter, FL 33458-2778

Mailing address

600 University Blvd
Suite 200
Jupiter, FL 33458-2778
Phone (561) 627-2601

Other practice location 1

625 N Flagler Dr
West Palm Beach, FL 33401-4027
Phone (561) 268-2000

Other names 1

  • MOUNT SINAI HEART NY PALM BEACH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151014000011 FL Part B Supplier - Clinic/Group Practice 1254640253 Receives reassigned benefits from 28 practitioners
Practice locations: West Palm Beach, FL; Jupiter, FL; Palm Beach Gardens, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0953378Mount Sinai Heart New York Palm Beach600 University Blvd Ste 200, Jupiter, FL 33458Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory
Part of
MSHQ Emergency Care Associates

Locations

575 Fern St
West Palm Beach, FL 33401
Phone (561) 268-2000

625 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 263-7010

625 N Flagler Dr
Ste 200
West Palm Beach, FL 33401
Phone (561) 268-2000

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1356722425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-627-2601",
            "fax_number": "561-627-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-627-2601",
            "fax_number": "561-627-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Flagler Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334014027",
            "country_code": "US",
            "telephone_number": "561-268-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI HOSPITAL",
        "enumeration_date": "2015-06-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SR DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "212-659-9036"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI HEART NY PALM BEACH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOUNT SINAI HEART NY PALM BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.