ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1013498419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013498419 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | MT SINAI DOCTORS BK MULTISPECIALTY |
| Practice Address |
1203 Avenue J Fl 2 Brooklyn NY 11230-3669 |
| Practice Telephone | 7182525800 |
| Mailing Telephone | 7182525800 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-01-17 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MT SINAI DOCTORS BK MULTISPECIALTY | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1203 Avenue J Fl 2, Brooklyn, NY 112303669 | 7182525800 | |
| 1523 Voorhies Ave Fl 3, Brooklyn, NY 112353912 | 7188662477 | |
| 3131 Kings Hwy Ste I-02, Brooklyn, NY 112342644 | 7187587050 |
| 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 |
| 1013489426 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 11 Madison Ave # Level1b, New York, NY 10010-3643 | 2018-12-24 |
| 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 |
1203 AVENUE J FL 2 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767013 | Complete Express Medical PC | Internal Medicine | 3047 Avenue U Ste 2, Brooklyn, NY 11229-5144 | 2018-04-20 |
| 1699287201 | Heart & Rhythm Centers of Excellence, Inc | Internal Medicine | 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 | 2017-11-05 |
| 1073962304 | Feel Good Medical PC | Internal Medicine | 2965 Ocean Pkwy Ste 2b, Brooklyn, NY 11235-8048 | 2016-06-07 |
| 1871958140 | Med Care Consultants | Internal Medicine | 4713 Church Ave, Brooklyn, NY 11203-3209 | 2015-12-30 |
| 1710366729 | Nyc Diagnostic Medical P.C. | Internal Medicine | 622 Avenue X, Brooklyn, NY 11235-6120 | 2015-05-22 |
| 1952723017 | Jeremiah M Gelles, Md PC | Internal Medicine | 508 78th St, Brooklyn, NY 11209-3706 | 2014-01-09 |
| 1265862486 | Cardiovascular Wellness Medical | Internal Medicine | 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 | 2013-11-25 |
| 1821437401 | Pace Cardiology PC | Internal Medicine | 135 Ocean Pkwy Ste 1t, Brooklyn, NY 11218-2579 | 2013-06-18 |
| 1740522176 | Cardiac Associates of New York Pllc | Internal Medicine | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | 2013-03-24 |
| 1831430495 | Helping Hands Medical Services PC | Internal Medicine | 2422 Knapp St, Brooklyn, NY 11235-1006 | 2013-03-07 |
| Find all providers in BROOKLYN | ||||
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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.