ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1780111484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780111484 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | MOUNT SINAI BROOKLYN DOCS |
| Practice Address |
3201 Kings Hwy Brooklyn NY 11234-2625 |
| Mailing Address |
150 E 42nd St 10th Floor New York NY 10017-5612 |
| Practice Telephone | 7189512851 |
| Mailing Telephone | 6466058119 |
| Mailing Fax Number | 6466053031 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR) |
| Authorized Official Telephone | 6466058112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Brooklyn Docs | 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 |
| 1013489426 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 11 Madison Ave # Level1b, New York, NY 10010-3643 | 2018-12-24 |
| 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 |
| 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 |
3201 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806425 | Frimmit L Forman | Radiology | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2005-07-27 |
| 1245839406 | Vivian Zheng | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-10-20 |
| 1922617588 | Simran Kaur | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-07-29 |
| 1407496094 | Larissa Kuchynska | Registered Nurse | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-01-10 |
| 1104462274 | Olivia Horgan | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-11-22 |
| 1376191791 | Dana Tyler Medina | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1548818974 | Katie Li | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1396307054 | Luz Clotilde Lucero-calabro | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-07-02 |
| 1184198251 | Jessica Mazile | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-01-11 |
| 1639641913 | Anna Guo | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2018-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1669099115 | East New York Medical Healthcare PC | Internal Medicine | 2673 Atlantic Ave, Brooklyn, NY 11207-2801 | 2020-07-01 |
| 1083242978 | Quratulain Nasir | Internal Medicine | 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 | 2020-03-28 |
| 1831723725 | Pitkin Medical Office P.C. | Internal Medicine | 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 | 2020-02-28 |
| 1083246920 | Dora Johnson | Internal Medicine | 374 Stockholm St # B, Brooklyn, NY 11237-4006 | 2020-02-09 |
| 1245876143 | Richard Casseus | Internal Medicine | 6525 Avenue N, Brooklyn, NY 11234-5622 | 2019-11-26 |
| 1598309569 | Md Care Now P.C. | Internal Medicine | 1849 Utica Ave, Brooklyn, NY 11234-2122 | 2019-11-03 |
| 1609410968 | Zaki Nakach, Md PC | Internal Medicine | 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 | 2019-10-30 |
| 1881158897 | Yuanli Xie Medical PC | Internal Medicine | 749 61st St Ste 403, Brooklyn, NY 11220-5163 | 2019-01-23 |
| 1689146417 | Frederik Peter Lindberg | Internal Medicine | 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 | 2018-12-18 |
| 1598233033 | Greenfield Medical | Internal Medicine | 1716 E 28th St, Brooklyn, NY 11229-2513 | 2018-11-02 |
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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.