NPIMap

Organization Active NPI

North Shore Medical Group of the Mount Sinai School of Medicine

Doing business as North Shore Medical Group

  • Cardiovascular Disease Physician
  • Bay Shore, NY
National Provider Identifier
1497150098
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Doing business as
North Shore Medical Group
Practice address
61 E Main St
Bay Shore, NY 11706-8366
Phone
(631) 659-1600
Fax
(631) 665-5870
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Janice Becker
Title
Associate Administrator
Phone
(631) 659-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NY Primary

Addresses

Primary practice location

61 E Main St
Bay Shore, NY 11706-8366

Mailing address

61 E Main St
Bay Shore, NY 11706-8366
Phone (631) 659-1600

Other names 1

  • North Shore Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Shore Medical Group10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1497150098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068366",
            "telephone_number": "631-659-1600",
            "fax_number": "631-665-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068366",
            "telephone_number": "631-659-1600",
            "fax_number": "631-665-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-659-4426"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.