Shye S Wortman (NPI# 1275584138, PAC ID# 3779686803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275584138 |
| PAC ID by PECOS | 3779686803 |
| Professional Enrollment ID | I20080809000011 |
| Full Name | Shye S Wortman |
| Organization Legal Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Address |
4982 Hylan Blvd Staten Island NY 10312-6399 |
| Phone Number | 7189669226 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921326570 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| 330028 | RICHMOND UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4982 Hylan Blvd, Staten Island, NY 10312-6399 | 7189669226 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Organization Legal Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Physicians | 2274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheela S. Maru | Obstetrics/gynecology | Icahn School of Medicine At Mount Sinai | 7901 Broadway, Rm A1 19, Elmhurst, NY 11373-1329 |
| Matthew Ck Pieh | Psychiatry | Icahn School of Medicine At Mount Sinai | 1425 Madison Ave, New York, NY 10029-6514 |
| Julietta D Rubin | Internal Medicine | Icahn School of Medicine At Mount Sinai | 234 E 85th St, New York, NY 10028-3001 |
| Ariella Nouriel | Obstetrics/gynecology | Icahn School of Medicine At Mount Sinai | 5 E 98th St-14th Flr, Ob/gyn Department, New York, NY 10029-6501 |
| Eric Q Lee | Otolaryngology | Icahn School of Medicine At Mount Sinai | 100 Th St and Madison, Annenberg Bld 3rd Floor, New York, NY 10029-6500 |
| Sarah E Grossman | Nurse Practitioner | Icahn School of Medicine At Mount Sinai | 300 Cadman W Plz, Brooklyn, NY 11201-2701 |
| Heather S Viola | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2109 Broadway, New York, NY 10023-2138 |
| Dina Malavsky | Physician Assistant | Icahn School of Medicine At Mount Sinai | 1203 Ave J, Fl 2, Brooklyn, NY 11230-3669 |
| Kumi D Kay | Physical Therapy | Icahn School of Medicine At Mount Sinai | 729 7th Ave, New York, NY 10019-6831 |
| Stephanie K Tankou | Neurology | Icahn School of Medicine At Mount Sinai | 5 E 98th Street-1st Fl, Dept of Neurology, New York, NY 10029-6501 |
| Street Address |
4982 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10312-6399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seth Brum | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Akiva Bergman | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Eliyahu Kopstick | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Anatoly Meerovich | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Neven Nassif | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Louis M Emmer | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Nirupama Singh Parikh | Internal Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Jonathan M Weber | Podiatry | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Melissa Madalone | Nurse Practitioner | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Alla M Plotkina | Family Medicine | Icahn School of Medicine At Mount Sinai | 4982 Hylan Blvd, Staten Island, NY 10312-6399 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kanwardeep S Aiden | Internal Medicine | 444 Huguenot Ave, A, Staten Island, NY 10312-1119 | |
| Avemaria A Lamonica | Clinical Psychologist | 14 Covington Cir, Staten Island, NY 10312-1175 | |
| Anthony D Olivieri | Podiatry | 3371 Richmond Ave, Staten Island, NY 10312-2025 | |
| Elaine Shnitkind | Dermatology | 3363 Richmond Ave, Staten Island, NY 10312-2025 | |
| Olga Kheyson | Obstetrics/gynecology | Olga Kheyson Md PC | 3371 Richmond Ave, Suite 1, Staten Island, NY 10312-2025 |
| Frank J Arbucci | Obstetrics/gynecology | 3371 Richmond Ave, Staten Island, NY 10312-2025 | |
| Thomas M Delauro | Podiatry | Thomas M. Delauro, Dpm, PC | 438 Arden Ave, Staten Island, NY 10312-2323 |
| Alla Zlotina | Optometry | 273 Eltingville Blvd, Staten Island, NY 10312-2447 | |
| Joseph A Brogna | Chiropractic | 639 Sinclair Ave, Staten Island, NY 10312-2643 | |
| Adolph Meyer | Physical Medicine and Rehabilitation | 639 Sinclair Ave, Staten Island, NY 10312-2643 | |
| Find all physicians in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STATEN ISLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shye S Wortman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.