NPIMap

Organization Active NPI

Fpa Hospital Based

  • Nuclear Medicine Physician
  • New York, NY
National Provider Identifier
1629319413
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
FPA HOSPITAL BASED
Practice address
1 Gustave L Levy PL
New York, NY 10029-6500
Phone
(212) 241-7775
NPI assigned
Mar 5, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
John W Hart
Title
Administrative Director
Phone
(212) 241-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207U00000X Primary

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6500

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (212) 241-6824

Other names 1

  • Nuclear Medicine Department of Mount Sinai Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130806000185 NY Part B Supplier - Clinic/Group Practice 4789826694 Receives reassigned benefits from 1,308 practitioners
8 other NPIs on this enrollment
Practice locations: New York, NY; Staten Island, NY; Brooklyn, NY; Greenlawn, NY; Jackson Heights, NY; Long Island City, NY; Manhasset, NY

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Fpa Hospital Based4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

  • Fpa Hospital Based

    dba Mount Sinai Pathology Hospitalists

    • Anatomic Pathology & Clinical Pathology Physician
    • New York, NY
    • NPI 1326389826
    NPD tax ID
  • Fpa Hospital Based

    dba Mount Sinai Dermatopathology Services III

    • Dermatopathology (Pathology) Physician
    • New York, NY
    • NPI 1841531795
    NPD tax ID
  • Fpa Hospital Based

    dba Mount Sinai Pathology Outreach

    • Anatomic Pathology & Clinical Pathology Physician
    • New York, NY
    • NPI 1962743575
    NPD tax ID

Locations

300 Cadman Plz W
Fl 8
Brooklyn, NY 11201

1176 5th Ave
Lbby
New York, NY 10029

1470 Madison Ave
#2
New York, NY 10029

1470 Madison Ave
Fl 2
New York, NY 10029

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

425 W 59th St
#6C6D
New York, NY 10019

425 W 59th St
Ste 6C6D
New York, NY 10019
Phone (212) 241-8333

5 E 98th St
Fl 14
New York, NY 10029
Phone (212) 241-7646

55 E 34th St
Fl 4
New York, NY 10016
Phone (212) 252-6004

787 11th Ave
#7
New York, NY 10019

Practitioners & affiliated clinicians

Practitioners 1,326

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.

View all 1,326

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1629319413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5024",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875024",
            "telephone_number": "212-241-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPA HOSPITAL BASED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "212-241-6824"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuclear Medicine Department of Mount Sinai",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.