NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

Doing business as OB/GYN Department of Mount Sinai SLR

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1922411065
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Doing business as
OB/GYN Department of Mount Sinai SLR
Practice address
1000 10TH Ave
Suite 10C
New York, NY 10019-1147
Phone
(212) 523-3452
Fax
(212) 523-8066
NPI assigned
Jun 6, 2014
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1000 10TH Ave
Suite 10C
New York, NY 10019-1147

Mailing address

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

Other names 1

  • OB/GYN Department of Mount Sinai SLR Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818000896 NY Part B Supplier - Clinic/Group Practice 2264691070 Receives reassigned benefits from 80 practitioners
Practice locations: New York, NY; Mineola, NY; Lynbrook, NY; Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Icahn School of Medicine at33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1664 E 14th St
Brooklyn, NY 11229
Phone (718) 954-3800

10 Union Sq E
#2B2C2D
New York, NY 10003

10 Union Sq E
Ste 2BD
New York, NY 10003

10 Union Sq E
Ste 2C2D
New York, NY 10003
Phone (212) 844-8500

1000 10th Ave
#11A61
New York, NY 10019
Phone (212) 844-8500

1000 10th Ave
Ste 10C
New York, NY 10019
Phone (212) 523-3452

108 Delancey St
Fl 4
New York, NY 10002

1090 Amsterdam Ave
Ste 3A
New York, NY 10025
Phone (212) 636-1130

124 W 60th St
Lbby 1C
New York, NY 10023

1427 Madison Ave
New York, NY 10029

200 W 57th St
Fl 13
New York, NY 10019
Phone (212) 523-6333

200 W 57th St
Fl 1516
New York, NY 10019
Phone (212) 247-8100

200 W 57th St
Ste 1001
New York, NY 10019
Phone (212) 663-6604

2875 Broadway
Ste 3
New York, NY 10025
Phone (914) 340-3669

425 W 59th St
#4B
New York, NY 10019
Phone (212) 523-7570

425 W 59th St
#5D
New York, NY 10019
Phone (212) 523-6333

425 W 59th St
#7B
New York, NY 10019
Phone (212) 523-8287

425 W 59th St
Fl 9
New York, NY 10019
Phone (212) 492-5550

425 W 59th St
Ste 4B
New York, NY 10019
Phone (212) 523-7752

425 W 59th St
Ste 5D
New York, NY 10019
Phone (212) 523-7724

425 W 59th St
Ste 9B
New York, NY 10019
Phone (212) 523-7752

5 E 98th St
#2
New York, NY 10029
Phone (212) 241-7952

15 N Broadway
White Plains, NY 10601
Phone (914) 328-8444

15 N Broadway
Ste G
White Plains, NY 10601
Phone (914) 275-5689

Practitioners & affiliated clinicians

Practitioners 101

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 101

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1922411065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST 42ND STREET",
            "address_2": "10TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175626",
            "telephone_number": "646-605-8119",
            "fax_number": "646-605-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "SUITE 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-523-3452",
            "fax_number": "212-523-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VP, CBO DIRECTOR",
        "authorized_official_telephone_number": "646-605-8112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB/GYN Department of Mount Sinai SLR",
            "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 Jul 8, 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.

Verify at the official NPI Registry.