NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

Doing business as Genetics and Genomic Sciences Department of Mount Sinai

  • Ph.D. Medical Genetics
  • New York, NY
National Provider Identifier
1679814974
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Doing business as
Genetics and Genomic Sciences Department of Mount Sinai
Practice address
1428 Madison Ave
1St Floor
New York, NY 10029-6508
Phone
(212) 241-8717
Fax
(212) 876-7805
NPI assigned
Mar 12, 2013
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI SCHOOL OF MEDICINE, FPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Ms. Crystal Macneill
Title
Vice President, Cbo Director
Phone
(646) 605-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X NU Primary

Addresses

Primary practice location

1428 Madison Ave
1St Floor
New York, NY 10029-6508

Mailing address

150 East 42ND Street
10TH Floor
New York, NY 10017-5626
Phone (646) 605-8119

Other names 1

  • Genetics and Genomic Sciences Department of Mount Sinai Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150805008416 NY Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 25 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Part of
Faculty Practice Associates - Mt Sinai School of Medicine

Locations

1428 Madison Ave
New York, NY 10029
Phone (212) 241-6947

1428 Madison Ave
Fl 1
New York, NY 10029
Phone (212) 241-6947

150 E 42nd St
#10
New York, NY 10017

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1679814974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST 42ND STREET",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175626",
            "telephone_number": "646-605-8119",
            "fax_number": "646-605-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "address_2": "1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-8717",
            "fax_number": "212-876-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI SCHOOL OF MEDICINE, FPA",
        "enumeration_date": "2013-03-12",
        "last_updated": "2016-03-14",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetics and Genomic Sciences Department of Mount Sinai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2016; 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.