ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1013489426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013489426 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | MOUNT SINAI SOLUTIONS BEHAVIORAL HEALTH |
| Practice Address |
11 Madison Ave # Level1b New York NY 10010-3643 |
| Mailing Address |
150 E 42nd St Fl 10 New York NY 10017-5626 |
| Practice Telephone | 6468995975 |
| Mailing Telephone | 6466058119 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | MR. EDWARD PETERSON (SENIOR DIRECTOR CBO) |
| Authorized Official Telephone | 6466058145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Solutions Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844317 | Icahn School of Medicine At Mount Sinai | Physiological Laboratory | 485 Merrick Rd, Rockville Centre, NY 11570-5436 | 2020-06-03 |
| 1013498419 | Icahn School of Medicine At Mount Sinai | Family Medicine | 1203 Avenue J Fl 2, Brooklyn, NY 11230-3669 | 2018-08-23 |
| 1912499401 | Icahn School of Medicine At Mount Sinai | Registered Nurse | 2209 Merrick Rd Ste 101, Merrick, NY 11566 | 2018-05-31 |
| 1912376633 | Icahn School of Medicine At Mount Sinai | Pathology | 16 Street At 1st Avenue, New York, NY 10003 | 2015-09-23 |
| 1437525037 | Icahn School of Medicine At Mount Sinai | Obstetrics & Gynecology | 234 E. 85th St, 3rd Floor, New York, NY 10028 | 2015-08-18 |
| 1568841930 | Icahn School of Medicine At Mount Sinai | Dermatology | 222 West 14th Street, New York, NY 10011 | 2015-05-19 |
| 1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
| 1427493113 | Icahn School of Medicine At Mount Sinai | Clinic/Center | 1468 Madison Ave Fl 3, New York, NY 10029-6508 | 2013-05-08 |
| 1558627844 | Icahn School of Medicine At Mount Sinai | Neurological Surgery | 5 East 98 Street 7th Floor, Newyork, NY 10029-6511 | 2012-04-11 |
| 1770856254 | Icahn School of Medicine At Mount Sinai | Radiology | 1184 5th Ave # 1236, New York, NY 10029-6503 | 2012-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI | One Gustave L Levy Pl, New York, NY 10029-6504 |
| Connecticut Business Registrations | Icahn School of Medicine At Mount Sinai Inc. | One Gustave L. Levy Place, New York, NY 10029 |
| Street Address |
11 MADISON AVE # LEVEL1B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| Find all providers in zip 10010 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942596655 | Silky Pahlajani | Psychiatry & Neurology | 428 E 72nd St Ofc 500, New York, NY 10021-0600 | 2011-06-21 |
| 1114968120 | Erwin Cham Ting | Psychiatry & Neurology | 227 Madison Street, Gouverneur Hospital, New York, NY 10002 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029411 | Eric Spronz, Psychiatric Nurse Practitioner P.C. | Psychiatry & Neurology | 2539 Middle Country Rd Ste 4, Centereach, NY 11720-3503 | 2020-09-29 |
| 1649668724 | Sherry Eros | Psychiatry & Neurology | 1802 State Route 52, Liberty, NY 12754-8306 | 2014-12-25 |
| 1215279468 | Bizhan M Nia | Psychiatry & Neurology | 601 Seney Ave, Mamaroneck, NY 10543-4426 | 2013-03-25 |
| 1255444147 | Joann Sciacca | Psychiatry & Neurology | 150 Elwood Ave, Hawthorne, NY 10532-2346 | 2006-08-16 |
| 1912537564 | Naira Ambarian Medical PC | Psychiatry & Neurology | 107 Northern Blvd, Great Neck, NY 11021-4311 | 2020-01-23 |
| 1497308548 | Neurosciences Healthcare Medicine, PC | Psychiatry & Neurology | 122 W Main St, Endicott, NY 13760-4772 | 2019-07-18 |
| 1033574009 | John C Marino, Md | Psychiatry & Neurology | 3180 West St, Canandaigua, NY 14424-1722 | 2015-12-17 |
| 1821485129 | Seaview Psychiatry Partners PC | Psychiatry & Neurology | 500 Seaview Ave, Suite 200a, Staten Island, NY 10305-3421 | 2015-04-24 |
| 1821418625 | Neil Zolkind, Md PC | Psychiatry & Neurology | 150 White Plains Rd Ste 102, 150 White Plains Road, Suite # 102, Tarrytown, NY 10591-5521 | 2014-04-18 |
| 1982021440 | Southern Dutchess Psychiatric Consultation Pllc | Psychiatry & Neurology | 1285 Route 9, Suite #7, Wappingers Falls, NY 12590-4993 | 2014-03-23 |
| Find all providers with the same taxonomy | ||||
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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.