NPIMap

Organization Active NPI

Mount Sinai Hospital

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1477154656
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOUNT SINAI HOSPITAL
Practice address
17 E 102ND St FL 3
New York, NY 10029-5204
Phone
(212) 824-7064
NPI assigned
Nov 4, 2020
Organization subpart
Yes
Parent organization
THE MOUNT SINAI HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Debra Jaeger
Title
Senior Vice President, Cro
Phone
(646) 605-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17 E 102ND St FL 3
New York, NY 10029-5204

Mailing address

1 Gustave L Levy PL # 6000
New York, NY 10029-6504
Phone (212) 256-2904

Other names 1

  • Mount Sinai Pharmacy at CAM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210226001900 NY Part B Supplier - Pharmacy 1153219431 Practice locations: New York, NY
O20241003002467 NY DME Supplier - Pharmacy 1153219431 Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mount Sinai Hospital17 E 102ND St, New York, NY 10029-5204(212) 824-7064 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2021

National Provider Directory

National Provider Directory
Part of
Mt Sinai Hospital of Qu

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Sinai HospitalNew York, NY, CCN 33T024 Hospital Operational/Managerial Control Sep 23, 2011
Mount Sinai HospitalNew York, NY, CCN 33S024 Hospital Operational/Managerial Control May 24, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1477154656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 6000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-256-2904",
            "fax_number": "212-731-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-824-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOUNT SINAI HOSPITAL",
        "enumeration_date": "2020-11-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CRO",
        "authorized_official_telephone_number": "646-605-7350"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Sinai Pharmacy at CAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Sinai Pharmacy at CAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.