Active NPI
Mount Sinai
- Critical Access Hospital
- New York, NY
National Provider Identifier
1629410592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 16550
- Legal business name
- MOUNT SINAI
- Practice address
- 1468 Madison Ave
Box 1116
New York, NY 10029-6508 - Phone
- (631) 824-8100
- Fax
- (212) 996-2230
- NPI assigned
- Jul 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dustin Lee Baker, PA-C
- Title
- Physician Associate
- Phone
- (212) 824-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 16550 | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave
Box 1116
New York, NY 10029-6508
Mailing address
59 E Main St
Suite 13
Bay Shore, NY 11706-8332
Phone (212) 824-8100
National Provider Directory
National Provider DirectoryLocations
1468 Madison Ave
#1116
New York, NY 10029
Phone (631) 824-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374364800000",
"number": "1629410592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 E MAIN ST",
"address_2": "SUITE 13",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068332",
"telephone_number": "212-824-8100",
"fax_number": "212-996-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE",
"address_2": "BOX 1116",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "631-824-8100",
"fax_number": "212-996-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT SINAI",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-21",
"last_updated": "2013-07-21",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICIAN ASSOCIATE",
"authorized_official_telephone_number": "212-824-8100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NY",
"license": "16550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.