NPIMap

Organization Active NPI

Icahn School of Medicine at Mount Sinai

  • 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
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
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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

2520 30th Ave
#4
Astoria, NY 11102

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

226 W 14th St
New York, NY 10011
Phone (212) 420-2882

1090 Amsterdam Ave
Ste 6A
New York, NY 10025
Phone (212) 523-2688

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

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

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

1000 10th Ave
#11A
New York, NY 10019
Phone (212) 523-7752

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

1427 Madison Ave
New York, NY 10029

200 W 57th St
Ste 1300
New York, NY 10019
Phone (212) 523-6333

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

255 Greenwich St
Rm 510
New York, NY 10007
Phone (212) 298-2720

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

425 W 59th St
Ste 5D
New York, NY 10019
Phone (212) 523-7570

780 8th Ave
Ste 303
New York, NY 10036
Phone (212) 641-4500

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

275 8th Ave
New York, NY 10011
Phone (212) 420-2620

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

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

108 Delancey St
Fl 4
New York, NY 10002

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "193200000X MULTI-SPECIALTY 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.