Organization Active NPI

Mount Sinai

  • Critical Access Hospital
  • New York, NY
National Provider Identifier
1629410592
Registry record updated Jul 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
16550 Issued in NY
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

Updated by the provider on Jul 21, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.