NPIMap

Organization Active NPI

Mount Sinai Hospital

  • Family Medicine Physician
  • Elmwood Park, IL
National Provider Identifier
1649694340
Registry record updated Feb 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125060717 Issued in IL
Legal business name
MOUNT SINAI HOSPITAL
Practice address
1930 N Harlem Ave Apt 405
Elmwood Park, IL 60707-3758
Phone
(215) 292-7688
NPI assigned
Feb 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2014

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

Authorized official

Name
Dr. Aziz Ihab, MD
Title
Chairman and Residency Director
Phone
(773) 257-6045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 125060717 IL Primary

Addresses

Primary practice location

1930 N Harlem Ave Apt 405
Elmwood Park, IL 60707-3758

Mailing address

1930 N Harlem Ave
#405
Elmwood Park, IL 60707-3742
Phone (215) 292-7688

National Provider Directory

National Provider Directory
Tax ID family
Mt Sinai Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1392508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392508800000",
    "number": "1649694340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N HARLEM AVE",
            "address_2": "#405",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073742",
            "telephone_number": "215-292-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N HARLEM AVE APT 405",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073758",
            "telephone_number": "215-292-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-16",
        "last_updated": "2014-02-16",
        "status": "A",
        "authorized_official_last_name": "IHAB",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "CHAIRMAN AND RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "773-257-6045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125060717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.