North Shore Medical Group of the Mount Sinai School of Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE

Practice address

2020 Wantagh Ave
Wantagh, NY 11793-3931

Phone

(516) 961-4545

NPI assigned

Dec 16, 2022

Last updated

Aug 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet Street

Title

VP Operations

Phone

(646) 354-3680

Specialties & licenses 15

Addresses

Other names 2

• MOUNT SINAI DOCTORS -MSSN Other name
• MOUNT SINAI DOCTORS WANTAGH Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Shore Medical Group of Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Internal Medicine Physician
  • Hauppauge, NY
  • NPI 1811224868

  O20040320000412

  Same enrollment
• North Shore Medical Group of Mt Sinai School of Medicine

  dba North Shore Medical Group

  • Pediatric Urology Physician
  • Huntington, NY
  • NPI 1639317043

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Internal Medicine Physician
  • Commack, NY
  • NPI 1144431701

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Gastroenterology Physician
  • Huntington, NY
  • NPI 1164623278

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Dermatology Physician
  • Huntington, NY
  • NPI 1649382532

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Body Imaging Physician
  • Huntington, NY
  • NPI 1902918899

  O20040320000412

  Same enrollment
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Gastroenterology Physician
  • Nesconset, NY
  • NPI 1962646091

  O20040320000412

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 513

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.

• Geraldine Abbey-Mensah, M.D.

  • Vascular & Interventional Radiology Physician
  • Oceanside, NY
  • NPI 1447530167
  NPD
• Ahmed Abdelrahman, MD

  • Nuclear Medicine Physician
  • New York, NY
  • NPI 1730717117

  Diagnostic Radiology

  NPD
• Bessie Abraham, O.D.

  • Optometrist
  • Astoria, NY
  • NPI 1710084538
  NPD
• Armand E Abulencia, MD

  • Orthopaedic Surgery Physician
  • Huntington, NY
  • NPI 1093733545
  NPD
• Richard L Addes, DO

  • Family Medicine Physician
  • East Rockaway, NY
  • NPI 1861569964
  NPD
• Sean Jason Adwar, M.D.

  • Vascular & Interventional Radiology Physician
  • Stony Brook, NY
  • NPI 1942562392
  NPD
• Amit Aggarwal, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1437310752
  NPD
• Jahan Aghalar, M.D.

  • Internal Medicine Physician
  • Commack, NY
  • NPI 1346474517
  NPD
• David Aharonoff, MD

  • Epilepsy Physician
  • Oceanside, NY
  • NPI 1669979951

  Neurology

  NPD
• Sumayya Ahmad, M.D.

  • Ophthalmology Physician
  • Long Island City, NY
  • NPI 1760777064
  NPD
• Zaza J Aivazi, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1063408474
  NPD
• Mutiat Adenike Akinsemoyin, M.D

  • Pediatrics Physician
  • Greenlawn, NY
  • NPI 1255783387
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1992417323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933931",
            "telephone_number": "516-961-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 N Oceanside Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705125",
            "country_code": "US",
            "telephone_number": "516-632-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2965 Long Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115723255",
            "country_code": "US",
            "telephone_number": "516-593-8953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "117561404",
            "country_code": "US",
            "telephone_number": "516-227-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 EAST BAY DRIVE",
            "address_purpose": "LOCATION",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "country_code": "US",
            "telephone_number": "516-870-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115613223",
            "country_code": "US",
            "telephone_number": "516-432-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117105720",
            "country_code": "US",
            "telephone_number": "516-409-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503917",
            "country_code": "US",
            "telephone_number": "516-485-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705254",
            "country_code": "US",
            "telephone_number": "516-536-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115103164",
            "country_code": "US",
            "telephone_number": "516-623-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115805443",
            "country_code": "US",
            "telephone_number": "516-536-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 LINCOLN BOULEVARD",
            "address_purpose": "LOCATION",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "11566",
            "country_code": "US",
            "telephone_number": "516-632-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 E 90th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281233",
            "country_code": "US",
            "telephone_number": "516-763-7820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Cuba Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "117401624",
            "country_code": "US",
            "telephone_number": "631-628-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664786",
            "country_code": "US",
            "telephone_number": "516-546-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705775",
            "country_code": "US",
            "telephone_number": "516-390-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 New York Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Station",
            "state": "NY",
            "postal_code": "117463258",
            "country_code": "US",
            "telephone_number": "631-923-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115632700",
            "country_code": "US",
            "telephone_number": "516-887-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 W Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203743",
            "country_code": "US",
            "telephone_number": "516-379-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Broadway",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571321",
            "country_code": "US",
            "telephone_number": "516-374-8682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721420",
            "country_code": "US",
            "telephone_number": "516-255-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2277 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115103148",
            "country_code": "US",
            "telephone_number": "516-379-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "646-354-3680"
    },
    "taxonomies": [
        {
            "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": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT SINAI DOCTORS -MSSN",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MOUNT SINAI DOCTORS WANTAGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.