Icahn School of Medicine at Mount Sinai

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Practice address

103 River Rd FL 2
Edgewater, NJ 07020-1016

Phone

(201) 941-8100

Fax

(201) 941-2899

NPI assigned

Jun 30, 2017

Organization subpart

Yes

Parent organization

MOUNT SINAI HOSPITAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Alicia Gresham

Title

VP of Network Operations

Phone

(212) 659-9038

Specialties & licenses 1

Addresses

Other names 1

• Mount Sinai Doctors Westchester-Cross County Cardiology Other name

Part of

Mt Sinai Hospital of Qu

Locations

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1710408596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD FL 2",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-941-8100",
            "fax_number": "201-941-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD FL 2",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-941-8100",
            "fax_number": "201-941-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave Ste 909",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011999",
            "country_code": "US",
            "telephone_number": "201-343-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7322 Bergenline Ave",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070475437",
            "country_code": "US",
            "telephone_number": "201-343-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011263",
            "country_code": "US",
            "telephone_number": "201-866-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Meadowlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942925",
            "country_code": "US",
            "telephone_number": "201-866-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "VP OF NETWORK OPERATIONS",
        "authorized_official_telephone_number": "212-659-9038"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Sinai Doctors Westchester-Cross County Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asante Hohn, PT, DPT
• Holly C Foote, DO, LLC
• Home With You, LLC
• Hudson Bergen Medical Associates LLC
• Richard S. Hughes III, D.D.S.
• Icahn School of Medicine at Mount Sinai
• Inserra Supermarkets Inc
• Intake, LLC
• Inu Health Clinic P.C
• Hyo-Jung Jang, PC-NP

• Cardiovascular Disease Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.