NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

  • Neurological Surgery Physician
  • Newyork, NY
National Provider Identifier
1558627844
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Practice address
5 East 98 Street 7TH Floor
Newyork, NY 10029-6511
Phone
(212) 241-4572
Fax
(212) 241-2542
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

5 East 98 Street 7TH Floor
Newyork, NY 10029-6511

Mailing address

PO Box 28082
New York, NY 10087-8082
Phone (212) 987-3100

Other names 1

  • NEUROLOGY DEPARTMENT OF MOUNT SINAI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120724000505 NY Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 246 practitioners
Practice locations: Brooklyn, NY; New York, NY; Long Island City, NY; Jackson Heights, NY; Hartsdale, NY; Bronxville, NY
O20131018001625 NJ Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 19 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paramus, NJ; Teaneck, NJ; Ridgewood, NJ; Long Branch, NY; Englewood Cliffs, NJ; Englewood, NJ; Edgewater, NJ; Berkeley Heights, NJ…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations (25 of 26)

3160 21st St
Fl Main
Astoria, NY 11106

14 Heyward St
#16
Brooklyn, NY 11249

8001 37th Ave
Jackson Heights, NY 11372

10 Union Sq E
#5D
New York, NY 10003

5 E 98th St
#1194
New York, NY 10029
Phone 21224139859

1000 10th Ave
#8
New York, NY 10019

1450 Madison Ave
#1
New York, NY 10029
Phone (212) 241-2763

10 Union Sq E
Frnt 5D
New York, NY 10003

1090 Amsterdam Ave
Fl 11
New York, NY 10025
Phone (212) 636-1474

1450 Madison Ave
Fl 1
New York, NY 10029

1000 10th Ave
Ste 2N
New York, NY 10019

83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378

5 E 98th St
#1139
New York, NY 10029
Phone (212) 241-7076

10 Union Sq E
#5H
New York, NY 10003
Phone (212) 844-6936

1468 Madison Ave
#8
New York, NY 10029
Phone (212) 241-6267

11 Amsterdam Ave
New York, NY 10023

1000 10th Ave
Ste 1C2
New York, NY 10019

17 E 102nd St
Fl 3
New York, NY 10029
Phone (212) 241-7968

10 Union Sq E
Ste 5J
New York, NY 10003

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

1468 Madison Ave
Ste 828
New York, NY 10029

55 E 34th St
Fl 6
New York, NY 10016
Phone (212) 252-6020

1090 Amsterdam Ave
#6E
New York, NY 10025
Phone (212) 772-7686

17 E 102nd St
Fl 8
New York, NY 10029
Phone (212) 241-0939

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

Practitioners & affiliated clinicians

Practitioners 289

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

View all 289

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1558627844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 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 EAST 98 STREET 7TH FLOOR",
            "city": "NEWYORK",
            "state": "NY",
            "postal_code": "100296511",
            "telephone_number": "212-241-4572",
            "fax_number": "212-241-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CBO DIRECTOR, 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": "NEUROLOGY DEPARTMENT OF MOUNT SINAI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newyork, NY

Sources for this page

  • 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.