Mount Sinai School of Medicine

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MOUNT SINAI SCHOOL OF MEDICINE

Practice address

9436 58TH Ave
Suite G4
Elmhurst, NY 11373-5149

Phone

(718) 760-0011

Fax

(718) 760-0685

NPI assigned

Jun 15, 2010

Organization subpart

Yes

Parent organization

MOUNT SINAI SCHOOL OF MEDICINEAs reported in NPPES

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

Authorized official

Name

Douglas A Jabs, M.D., M.B.A.

Title

Chief Executive Officer, Fpa

Phone

(212) 241-6752

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Offsite Robbins Cardiology Other name

Part of

Mt Sinai Pathology Asso

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1972824894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "BOX 1621",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-731-7895",
            "fax_number": "212-348-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 58TH AVE",
            "address_2": "SUITE G4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735149",
            "telephone_number": "718-760-0011",
            "fax_number": "718-760-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI SCHOOL OF MEDICINE",
        "enumeration_date": "2010-06-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "JABS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER, FPA",
        "authorized_official_telephone_number": "212-241-6752",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE QUEENS COUNTY",
            "identifier": "G100027019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Offsite Robbins Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Mount Sinai School of Medicine
• Mount Sinai Surgical Supplies Inc.
• Bassel Moussa, PHARMD
• Mowa LLC
• Michael Christopher Moy, D.O.
• Daniel Mozell, MD

• Cardiovascular Disease Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.