Icahn School of Medicine at Mount Sinai

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Doing business as

Neurosurgery Department of 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

Last updated

Jun 24, 2015By 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

Crystal Macneill

Title

Cbo Vice President

Phone

(646) 605-8112

Specialties & licenses 1

Addresses

Other names 1

• Neurosurgery Department of Mount Sinai Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 186

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.

• Joshua B Bederson, M.D.

  • Specialist
  • New York, NY
  • NPI 1821064569
  Medicare reassignment Care Compare group NPD
• Kenisha R Blake, NP

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1376032599
  Medicare reassignment Care Compare group NPD
• Jessica Maria Bonet

  • Physician Assistant
  • New York, NY
  • NPI 1275152118
  Medicare reassignment Care Compare group NPD
• Michael Travis Caton Jr., M.D.

  • Neurological Surgery Physician
  • New York, NY
  • NPI 1609289875
  Medicare reassignment Care Compare group NPD
• Laura Marie Chenevert, P.A.

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1952557225
  Medicare reassignment Care Compare group NPD
• Tanvir F Choudhri, M.D.

  • Specialist
  • New York, NY
  • NPI 1043286727
  Medicare reassignment Care Compare group NPD
• Anonna Chowdhury, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1679288914

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Divaldo De Arruda Camara Junior, MD

  • Neurological Surgery Physician
  • New York, NY
  • NPI 1548798978
  Medicare reassignment Care Compare group NPD
• Reade Andrew De Leacy, M.D.

  • Neurological Surgery Physician
  • New York, NY
  • NPI 1982045845
  Medicare reassignment Care Compare group NPD
• Kristin Doyon, PA-C

  • Physician Assistant
  • Hempstead, NY
  • NPI 1124855127
  Medicare reassignment Care Compare group NPD
• Nicole Drapinski, PA

  • Surgery Physician
  • New York, NY
  • NPI 1639857345
  Medicare reassignment Care Compare group NPD
• Kayla Lauren Epstein, PA-C

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1477028991
  Medicare reassignment Care Compare group NPD

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

{
    "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"
        }
    ]
}

• Icahn School of Medicine at Mount Sinai
• Icahn School of Medicine at Mount Sinai (OB/GYN Department of Mount Sinai BI)
• Icahn School of Medicine at Mount Sinai (Rehabilitation Fluoroscopy Medicine Department of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Gramercy Park Physicians of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Cardio Vascular Institute of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Mount Sinai Dermatopathology Laboratory)
• Icahn School of Medicine at Mount Sinai (Pulmonary Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (FPA Out of Network)
• Icahn School of Medicine at Mount Sinai (Head and Neck Surgery Department of Otolaryngology)
• Icahn School of Medicine at Mount Sinai (Thoracic Surgery Department of Mount Sinai SLR)

• Neurological Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.