NPIMap

Organization Active NPI

Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
National Provider Identifier
1992131320
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5903001H Issued in NY
Legal business name
MONTEFIORE MOUNT VERNON HOSPITAL
Practice address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone
(914) 664-8000
NPI assigned
Sep 17, 2013
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Ms. Randi Kohn
Title
Avp, Regulatory Planning
Phone
(718) 920-6080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 5903001H NY
General Acute Care Hospital 282N00000X 5903001H NY Primary

Addresses

Primary practice location

12 N 7TH Ave
Mount Vernon, NY 10550-2026

Mailing address

111 E 210TH St
Bronx, NY 10467-2401
Phone (914) 664-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131021000204 NY Part A Provider - Hospital 7810122231 Practice locations: Mount Vernon, NY
O20131021000439 NY Part A Provider - Hospital 7810122231 Practice locations: Mount Vernon, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1992131320. Details of each certification follow.

Hospital certification: CCN 330086

Legal name
MONTEFIORE MOUNT VERNON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 19, 2025
Beds
245
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 23, 2013 in NY
Enrollment address
12N 7TH Ave
Mount Vernon, NY 10550-2026
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit

Hospital certification: CCN 33S086

Legal name
MONTEFIORE MOUNT VERNON HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 23, 2013 in NY
Enrollment address
12N 7TH Ave
Mount Vernon, NY 10550-2026
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Montefiore Mount Vernon HospitalCCN 330086 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

555 S Broadway
Tarrytown, NY 10591

Ownership & related parties

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alisa R Doctoroff Individual Corporate DirectorBoard of Trustees Member Mar 21, 2017
David a Tanner Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Stacey R Lane Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Patricia Green Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Ruth L. Gottesman Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Corporate Director Jan 1, 2014
Lewis Henkind Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Matthew H. Nord Individual Corporate DirectorBoard of Trustees Member Sep 16, 2014
Helen a. Johnson Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Colleen M. Blye Individual Corporate OfficerChief Financial Officer Jan 6, 2016
W-2 Managing EmployeeExec VP and Chief Financial Officer Jan 6, 2016
W-2 Managing EmployeeEvp and Chief Financial Officer Jan 6, 2016
John P Gutfreund Individual Corporate DirectorBoard of Trustees Member Mar 21, 2017
Jonathan a Lipton Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Thomas L. Harrison Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Jennie Emil Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Christopher S. Panczner Individual Corporate OfficerNon-Trustee Officer May 23, 2013
W-2 Managing EmployeeSenior VP, General Counsel May 23, 2013
Alan N Suna Individual Corporate DirectorBoard of Trustees Member Nov 1, 2018
Jon W. Rotenstreich Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Nathan Gantcher Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Melissa Ceriale Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
David B. Keidan Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Daniel R Tishman Individual Corporate DirectorBoard of Trustees Ex-Officio Member May 18, 2018
Corporate DirectorBoard of Trusteesex-Officio Member Jan 1, 2014
Douglas Eisenberg Individual Corporate DirectorBoard of Trustees Member Jun 24, 2020
Barry S Blattman Individual Corporate DirectorBoard of Trustees Member Sep 16, 2014
Ellen Breslow Individual Corporate DirectorBoard of Trustees Member Jun 24, 2021
Edwin H Stern Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Jay B. Abramson Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Michael a Stocker Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
John Heffer Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
James M. Butler Individual Corporate OfficerChairman Jun 14, 2016
Corporate DirectorBoard of Trustees Member Jan 1, 2014
Gayle F. Robinson Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
John Preolo Individual Corporate DirectorDirector, Credentialing Services Dec 29, 2023
W-2 Managing Employee Dec 29, 2023
Ronald L Moelis Individual Corporate DirectorBoard of Trustees Member Mar 21, 2017
Emanuel Chirico Individual Corporate DirectorBoard of Trustees Member Oct 18, 2016
Phillip O. Ozuah Individual Corporate OfficerPresident May 23, 2013
W-2 Managing EmployeePresident May 23, 2013
Randi L Kohn Individual W-2 Managing EmployeeAssistant Vice President, Reg Plan Nov 6, 2013
Alan M. Klein Individual Corporate DirectorBoard of Trustees Member Jan 1, 2014
Catherine M Klema Individual Corporate OfficerVice Chairman Jun 24, 2020
Corporate DirectorBoard of Trustees Member Jan 1, 2014
Joel L Braun Individual Corporate DirectorBoard of Trustees Member Oct 18, 2016
Montefiore Health System, Inc Organization, Tarrytown, NY Corporation, Non-profit Operational/Managerial Control Nov 6, 2013 100%
Allen Spiegel Individual Corporate DirectorBoard of Trustees Member Jun 30, 2022

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 37

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 37

Affiliated clinicians 133

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1992131320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "914-664-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-664-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MOUNT VERNON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "AVP, REGULATORY PLANNING",
        "authorized_official_telephone_number": "718-920-6080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "5903001H",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "5903001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.