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Icahn School of Medicine at Mount Sinai

Organization Active NPI Neurological Surgery Physician · New York, NY

NPI 1497029581 · NPPES record last updated Jun 24, 2015

Key facts

NPI
1497029581
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Practice address
5 E 98TH St FL 7
New York, NY 10029-6501
Phone
(212) 241-0002
Fax
(212) 831-3250
NPI assigned
Mar 7, 2012
Organization subpart
No

Authorized official

Name
Crystal Macneill
Title
Cbo Vice President
Phone
(646) 605-8112

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 186

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120731000708 NY Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 162 practitioners
Practice locations: New York, NY; Oceanside, NY; Staten Island, NY; Valhalla, NY; Yonkers, NY; Astoria, NY; Brooklyn, NY; Flushing, NY…

National Provider Directory

Locations

8201 37th Ave
Fl 5
Jackson Heights, NY 11372
Phone (718) 899-5800

1468 Madison Ave
Fl 8
New York, NY 10029
Phone (212) 241-2377

1450 Madison Ave
New York, NY 10029
Phone (212) 241-1912

110 E 59th St
Rm 10A
New York, NY 10022
Phone (212) 523-6720

217 Grand St
Ste 7
New York, NY 10013
Phone (212) 941-0988

425 W 59th St
Ste 4E
New York, NY 10019
Phone (212) 262-4444

425 W 59th St
Ste 4A
New York, NY 10019
Phone (212) 265-9866

425 W 59th St
#4A
New York, NY 10019
Phone (212) 489-8800

1468 Madison Ave
#8830
New York, NY 10029

1450 Madison Ave
Fl 1N
New York, NY 10029

1470 Madison Ave
Fl 1
New York, NY 10029

1450 Madison Ave
#1N
New York, NY 10029
Phone (212) 241-3400

1111 Amsterdam Ave
#10G
New York, NY 10025

1468 Madison Ave
#828
New York, NY 10029

1000 10th Ave
Ste 10G62A
New York, NY 10019

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207T00000X Yes

Addresses

Primary practice location

5 E 98TH St FL 7
New York, NY 10029-6501

Mailing address

P.O. Box 28082
New York, NY 10087-8082
Phone (212) 987-3100

Other names

  • Neurosurgery Department of Mount Sinai Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2015.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1497029581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28082",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100878082",
            "telephone_number": "212-987-3100",
            "fax_number": "646-605-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-0002",
            "fax_number": "212-831-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CBO VICE PRESIDENT",
        "authorized_official_telephone_number": "646-605-8112"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Department of Mount Sinai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.