Active NPI
Icahn School of Medicine at Mount Sinai
Doing business as Medicine Department of Mount Sinai
- Infectious Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- Doing business as
- Medicine Department of Mount Sinai
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6574 - Phone
- (212) 987-3100
- Fax
- (212) 731-5220
- NPI assigned
- Apr 30, 2012
- Last updated
- Jun 24, 2015
- 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
- Crystal Macneill
- Title
- Vice President, Cbo Director
- Phone
- (646) 605-8112
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Allergy Physician | 207KA0200X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Hematology (Internal Medicine) Physician | 207RH0000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Infectious Disease Physician | 207RI0200X | Primary | ||
| Rheumatology Physician | 207RR0500X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6574
Mailing address
PO Box 28082
New York, NY 10087-8082
Phone (212) 987-3100
Other names 1
- Medicine Department of Mount Sinai
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121227000330 | NY | Part B Supplier - Clinic/Group Practice | 2264691070 |
Receives reassigned benefits from 824 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY; Richmond Hill, NY; Astoria, NY; Brooklyn, NY; Jackson Heights, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Orthopedic Department of Mount Sinai
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
O20121227000330
-
dba Environmental Medicine at Mount Sinai
- Occupational Medicine Clinic/Center
- New York, NY
- NPI 1427493113
O20121227000330
National Provider Directory
National Provider DirectoryLocations (25 of 105)
725 Grand Ave
Ste 101
Ridgefield, NJ 07657
Phone (201) 370-2300
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
3010 38th St
#2
Astoria, NY 11103
Phone (718) 932-6000
3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600
132 Greenpoint Ave
Brooklyn, NY 11222
Phone (212) 844-1266
1977 Flatbush Ave
Brooklyn, NY 11234
Phone (646) 565-4545
2700 Ocean Ave
Brooklyn, NY 11229
Phone (718) 336-3900
300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000
3131 Kings Hwy
Ste A7
Brooklyn, NY 11234
Phone (718) 360-9370
1978 Crompond Rd
Ste 102
Cortlandt Manor, NY 10567
Phone (914) 226-3256
5 Hatfield Ln
Ste 1B
Goshen, NY 10924
3712 82nd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 879-1600
2520 30th Ave
Fl 4
Long Island City, NY 11102
Phone (718) 808-7777
10 Nathan D Perlman Pl
Fl 7
New York, NY 10003
Phone (212) 420-2457
10 Union Sq E
#2L
New York, NY 10003
10 Union Sq E
Fl 2
New York, NY 10003
Phone (212) 844-8102
10 Union Sq E
Frnt 2G
New York, NY 10003
10 Union Sq E
Frnt 2M
New York, NY 10003
10 Union Sq E
Frnt 3C
New York, NY 10003
10 Union Sq E
Frnt 3K
New York, NY 10003
10 Union Sq E
Frnt 5M
New York, NY 10003
10 Union Sq E
Ste 2H
New York, NY 10003
Phone (212) 844-8300
10 Union Sq E
Ste 2L
New York, NY 10003
Phone (212) 844-6268
10 Union Sq E
Ste 2M
New York, NY 10003
Phone (212) 844-8412
10 Union Sq E
Ste 2NP
New York, NY 10003
Practitioners & affiliated clinicians
Practitioners 1,002
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.
-
- Hospitalist Physician
- New York, NY
- NPI 1871886606
-
- Infectious Disease Physician
- Albany, NY
- NPI 1629336656
Internal Medicine
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1003219163
-
- Hospitalist Physician
- New York, NY
- NPI 1245625540
-
- Internal Medicine Physician
- New York, NY
- NPI 1356372361
-
- Internal Medicine Physician
- New York, NY
- NPI 1033412218
-
- Hospitalist Physician
- New York, NY
- NPI 1275730947
-
- Hospitalist Physician
- New York, NY
- NPI 1821727355
-
- Hospitalist Physician
- Flushing, NY
- NPI 1942319579
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1396092318
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1972692275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1659639524",
"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": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-987-3100",
"fax_number": "212-731-5220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "MACNEILL",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "VICE PRESIDENT, CBO DIRECTOR",
"authorized_official_telephone_number": "646-605-8112"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Department of Mount Sinai",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
- Icahn School of Medicine at Mount Sinai (Transplant Department of Mount Sinai)
- Icahn School of Medicine at Mount Sinai (ENT Dentistry Department of Mount Sinai)
- Icahn School of Medicine at Mount Sinai (Icahn School of Medicine Pharmacy)
- Icahn School of Medicine at Mount Sinai (Surgery Department of Mount Sinai SLR)
- Icahn School of Medicine at Mount Sinai (Clinical Immunology Division of Mount Sinai)
- Icahn School of Medicine at Mount Sinai (Center for Health & Healing Mount Sinai BI)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Now)
- Icahn School of Medicine at Mount Sinai (Genetics and Genomic Sciences Department of Mount Sinai)
- Icahn School of Medicine at Mount Sinai (Geriatric Medicine Department of Mount Sinai)
- Icahn School of Medicine at Mount Sinai (Gastroenterology Division of Mount Sinai)
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.