NPIMap

Organization Active NPI

Mount Sinai School of Medicine

Doing business as Mount Sinai Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1740224914
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
CLIA 33D1051889 Issued in NY
Legal business name
MOUNT SINAI SCHOOL OF MEDICINE
Doing business as
Mount Sinai Pathology Associates
Practice address
1428 Madison Ave
Atran 610
New York, NY 10029-6508
Phone
(212) 731-7772
Fax
(212) 534-7491
NPI assigned
Jun 16, 2006
Organization subpart
Yes
Parent organization
MOUNT SINAI SCHOOL OF MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Douglas A Jabs, M.D., MBA
Title
Chief Executive Officier
Phone
(212) 241-6228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X CLIA 33D1051889 NY Primary
Clinical Medical Laboratory 291U00000X CLIA 33D1051889 NY

Addresses

Primary practice location

1428 Madison Ave
Atran 610
New York, NY 10029-6508

Mailing address

1428 Madison Ave
Atran 610
New York, NY 10029-6508
Phone (212) 731-7772

Other names 1

  • MOUNT SINAI PATHOLOGY ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Part of
Marta Rico MD

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1740224914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "address_2": "ATRAN 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-731-7772",
            "fax_number": "212-534-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE",
            "address_2": "ATRAN 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-731-7772",
            "fax_number": "212-534-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "JABS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICIER",
        "authorized_official_telephone_number": "212-241-6228",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "CLIA 33D1051889",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "CLIA 33D1051889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI PATHOLOGY ASSOCIATES",
            "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 Nov 9, 2009; 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.