Mount Sinai Children's Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

125064021 Issued in IL

Legal business name

MOUNT SINAI CHILDREN'S HOSPITAL

Practice address

1500 S Fairfield Ave
Chicago, IL 60608-1782

Phone

(773) 257-6183

NPI assigned

Aug 24, 2013

Last updated

Aug 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Vickers, MD

Title

Program Director/Chairman of Peds

Phone

(773) 257-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1477987642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-257-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-257-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/CHAIRMAN OF PEDS",
        "authorized_official_telephone_number": "773-257-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "IL",
            "license": "125064021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Moulton
• Theresa S Moulton, PT
• Sarah Jane Moum, M.D.
• Mount Carmel Medical Center
• Mount Sinai
• Mount Sinai Community Foudation (Holy Cross Physician Pavillion)
• Mount Sinai Community Foundation (Sinai Medical Group)
• Mount Sinai Community Foundation (SMG Ashland Office)
• Mount Sinai Community Foundation
• Mount Sinai Community Foundation (SMG West Lawn)

• Children's Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• Children's Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.