MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1013484039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013484039 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | MOUNT SINAI MARATHON MEDICAL - ONCOLOGY |
| Practice Address |
242 Merrick Rd Ste 301 Rockville Centre NY 11570-5254 |
| Practice Telephone | 5165361455 |
| Mailing Telephone | 5165361455 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | ALICIA GRESHAM (VP NETWORK OPERATIONS) |
| Authorized Official Telephone | 2126599038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Marathon Medical - Oncology | Other Name - Individual/Organization |
| MOUNT SINAI NETWORK PRACTICES - ONCOLOGY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1215281910 | Mount Sinai School of Medicine | Obstetrics & Gynecology | 8268 164th St Rm B265, Jamaica, NY 11432-1121 | 2012-11-01 |
| 1386906584 | Mount Sinai School of Medicine | Internal Medicine | 177 E 87th St Ste 507, New York, NY 10128-2226 | 2012-06-13 |
| 1730315177 | Mount Sinai School of Medicine | Internal Medicine | 143 - 05 Hillside Avenue, Jamaica, NY 11435 | 2009-05-29 |
| 1801045646 | Mount Sinai School of Medicine | Surgery | 5 E 98th St Fl 14, New York, NY 10029-6501 | 2008-09-17 |
| 1639338635 | Mount Sinai School of Medicine | Chronic Disease Hospital | 777 Foster Ave, Apt 5f, Brooklyn, NY 11230-1352 | 2008-06-04 |
| 1326207705 | Mount Sinai School of Medicine | Internal Medicine | 143 05 Hillside Avenue, Jamaica, NY 11435 | 2008-06-02 |
| 1558589010 | Mount Sinai School of Medicine | Pediatrics | 5 Esat 98th. Street 12th. Floor, New York, NY 10029-6574 | 2007-04-23 |
| 1629087267 | Mount Sinai School of Medicine | Pediatrics | 5 East 98th. Street 12th. Floor, New York, NY 10029-6574 | 2006-08-05 |
| 1629091921 | Mount Sinai School of Medicine | Internal Medicine | I Gustave Levy Place, Ruttenberg Treatment Center, New York, NY 10029-6574 | 2006-07-26 |
| Street Address |
242 MERRICK RD STE 301 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278306 | Mary K Leung | Internal Medicine | 242 Merrick Rd Ste 301, Rockville Centre, NY 11570-5254 | 2008-06-11 |
| 1376904128 | Kristin Marie Sobeck | Registered Nurse | 242 Merrick Rd Ste 301, Rockville Centre, NY 11570-5254 | 2016-03-08 |
| 1376802405 | Kenneth Lee Angelino | Internal Medicine | 242 Merrick Rd Ste 301, South Nassau Oncology Practice, PC, Rockville Centre, NY 11570 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619250925 | Mubasir Mundia | Internal Medicine | 2000 N Village Ave Ste 405, Rockville Centre, NY 11570-1001 | 2011-09-22 |
| 1730188343 | Ronald A. Primis | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2005-07-15 |
| 1952715773 | South Nassau Oncology Practice, PC | Internal Medicine | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2014-06-19 |
| 1376802405 | Kenneth Lee Angelino | Internal Medicine | 242 Merrick Rd Ste 301, South Nassau Oncology Practice, PC, Rockville Centre, NY 11570 | 2012-05-09 |
| 1134445497 | Valerie Kremer | Internal Medicine | 242 Merrick Rd, 301, Rockville Centre, NY 11570-5254 | 2010-04-12 |
| 1972731776 | Oscar Boutros Lahoud | Internal Medicine | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2009-06-30 |
| 1669672101 | Abdul G Mundia | Internal Medicine | 2000 N Village Ave, Suite 405, Rockville Centre, NY 11570-1078 | 2007-07-23 |
| 1780896506 | Abdul G.mundia Physician PC | Internal Medicine | 2000 N Village Ave, Suite 405, Rockville Centre, NY 11570-1078 | 2007-05-04 |
| 1013074889 | Moshe Weiner | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2007-01-02 |
| 1881751634 | Doron Weiner | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2007-01-02 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.