Organization Active NPI

Mount Sinai Medical Center Urology, LLC

  • Urology Physician
  • Miami Beach, FL
National Provider Identifier
1871756064
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MOUNT SINAI MEDICAL CENTER UROLOGY, LLC
Practice address
4302 Alton Rd
Ste 540
Miami Beach, FL 33140-2800
Phone
(305) 674-2499
Fax
(305) 674-2899
NPI assigned
Jul 8, 2008
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mr. Gino Santorino
Title
President Chief Executive Officer
Phone
(305) 695-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

4302 Alton Rd
Ste 540
Miami Beach, FL 33140-2800

Mailing address

4300 Alton Rd
Ascher BLDG 2ND Floor
Miami Beach, FL 33140-2800
Phone (305) 695-1275

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/ Other
Direct Messaging Address direct@direct.msmc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000252 FL Part B Supplier - Clinic/Group Practice 2466513288 Receives reassigned benefits from 34 practitioners
Practice locations: Aventura, FL; Sunny Isles Beach, FL; North Miami Beach, FL; Miami Shores, FL; Miami Beach, FL; Miami, FL; Key West, FL; Hialeah, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1015383Mount Sinai Medical Center of Florida Inc4302 Alton Rd Ste 750B, Miami Beach, FL 33140Certificate of waiverJul 29, 2027
10D1041230Mount Sinai Medical Center Dept of OB/GYN4302 Alton Rd Ste 920, Miami Beach, FL 33140Certificate of waiverApr 27, 2027
10D2166739Mount Sinai Medical Center Cardiology, LLC4302 Alton Rd, Suite 100, Miami Beach, FL 33140Certificate of waiverMay 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mount Sinai Medical Center of Flori4302 Alton Rd, Miami Beach, FL 33140-2892(305) 674-2518 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

2845 Aventura Blvd
Ste 245
Aventura, FL 33180
Phone (305) 466-7333

2845 Aventura Blvd
Ste 247
Aventura, FL 33180
Phone (305) 647-6663

2150 W 68th St
Ste 100
Hialeah, FL 33016
Phone (305) 531-6766

4300 Alton Rd
Bldg 2ND
Miami Beach, FL 33140
Phone (305) 674-2194

4302 Alton Rd
Ste 540
Miami Beach, FL 33140
Phone (305) 674-2151

323 Sunny Isles Blvd
#One
Sunny Isles Beach, FL 33160
Phone (786) 274-8105

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1871756064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "ASCHER BLDG 2ND FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-695-1275",
            "fax_number": "305-535-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "STE 540",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-2499",
            "fax_number": "305-674-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI MEDICAL CENTER UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SANTORINO",
        "authorized_official_first_name": "GINO",
        "authorized_official_title_or_position": "PRESIDENT CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-695-1275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd",
            "address_2": "Ste 540",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd",
            "address_2": "Ste 540",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.