ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1912499401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912499401 |
Entity Type | Organization |
Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
Other Organization Name | MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY |
Practice Address |
2209 Merrick Rd Ste 101 Merrick NY 11566 |
Mailing Address |
1 Healthy Way Oceanside NY 11572-1551 |
Practice Telephone | 5165465000 |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-06-08 |
Authorized Official Name | ALICIA GRESHAM (VP OF NETWORK OPERATIONS) |
Authorized Official Telephone | 2126599038 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
Nursing Service Providers | ||
N | 163WX0200X |
Registered Nurse Specialization: Oncology |
Nursing Service Providers | ||
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1 Healthy Way, Oceanside, NY 115721551 | 5165465000 |
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 |
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 |
2209 MERRICK RD STE 101 |
City | MERRICK |
State | NY |
Zip Code | 11566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720555089 | Mount Sinai School of Medicine | Registered Nurse | 2209 Merrick Rd Ste 101, Merrick, NY 11566-4770 | 2018-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538722657 | Francis Gregory Coffey | Psychologist | 124 N Merrick Ave, Merrick, NY 11566 | 2019-04-15 |
1013436732 | Elisabeth Chandlin Walker | Speech-Language Pathologist | 2825 Bay Dr, Merrick, NY 11566 | 2017-09-13 |
1720509938 | Gloria Lebeaux | Social Worker | 1860 Nassau Street, Merrick, NY 11566 | 2017-06-28 |
1104350941 | Sari Klar | Counselor | 1991 Norshon Rd, Merrick, NY 11566 | 2017-04-19 |
1447790563 | Yash Shah | Student in an Organized Health Care Education/Training Program | 1068 Susan Ct, Merrick, NY 11566 | 2017-03-08 |
1457700320 | Rachel Zimmern | Specialist | 16 Arbor Ln, Merrick, NY 11566 | 2016-06-10 |
1326435785 | Christine Cione | Counselor | 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 | 2015-04-22 |
1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
1629496575 | Sara D Lobato | Registered Nurse | 1970 Brook Park Dr, Merrick, NY 11566 | 2014-03-28 |
1558704890 | Natacha Jacqueline Bastien | Licensed Practical Nurse | 1961 Meadowbrook Rd, Merrick, NY 11566 | 2013-04-16 |
Find all providers in zip 11566 |
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 |
---|---|---|---|---|
1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
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.