ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1104162700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104162700 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | REHABILITATION NEUROPSYCHOLOGY MEDICINE DEPARTMENT OF MOUNT SI |
| Practice Address |
5 E 98th St Fl 6 Box 1240b New York NY 10029-6501 |
| Mailing Address |
150 East 42nd. Street 10th Fl. New York NY 10017-5626 |
| Practice Telephone | 2122415643 |
| Practice Fax Number | 2123696389 |
| Mailing Telephone | 6466058119 |
| Mailing Fax Number | 6466053029 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | CRYSTAL MACNEILL (VP, CBO DIRECTOR) |
| Authorized Official Telephone | 6466058112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Rehabilitation Neuropsychology Medicine Department of Mount Si | 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 |
5 E 98TH ST FL 6 BOX 1240B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016254 | Richard A Frieden | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2006-03-08 |
| 1275130916 | Jina M Joseph | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2020-10-06 |
| 1013568849 | Ian Michael Haas | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2019-09-23 |
| 1952965659 | Talia Stark | Student in an Organized Health Care Education/Training Program | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2019-04-28 |
| 1780079517 | Samantha Leigh Haughton | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2015-03-30 |
| 1497094270 | Eliana Cardozo | Physical Medicine & Rehabilitation | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2013-02-13 |
| 1477899078 | Icahn School of Medicine At Mount Sinai | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2012-12-31 |
| 1386980985 | Icahn School of Medicine At Mount Sinai | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2012-12-31 |
| 1750647152 | Icahn School of Medicine At Mount Sinai | Urology | 5 E 98th St Fl 6, Box 1272, New York, NY 10029-6501 | 2012-04-10 |
| 1659675320 | Anzhela Izrailova | Nurse Practitioner | 5 E 98th St Fl 6, Department of Anesthesia, New York, NY 10029-6501 | 2011-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699296632 | A1 Medical Center Inc | Rehabilitation Practitioner | 535 Fifth Ave, 4 Floor, New York, NY 10017 | 2017-06-29 |
| 1891053336 | Faculty Practice Associates Mount Sinai School of Medicine | Rehabilitation Practitioner | 5 E 98th St Box 1240b- 6th Floor, New York, NY 10029-6501 | 2012-05-02 |
| 1467557264 | Richard Carl Koffler | Rehabilitation Practitioner | 120 E 42nd St Fl 5, New York, NY 10017-5667 | 2006-09-14 |
| 1386677508 | Sutton Holistic LLC | Rehabilitation Practitioner | 329 E 52nd St Apt A, New York, NY 10022-6330 | 2006-07-09 |
| 1124055033 | Nymhc Fpp Rehab Medicine | Rehabilitation Practitioner | 1901 1st Ave Suite 5 South 2, Metropolitan Hospital Fpp, New York, NY 10029-0000 | 2006-06-27 |
| 1407825516 | Wayne Gordon | Rehabilitation Practitioner | 5 E. 98th Street, 6th Floor Box 1240 B, New York, NY 10029 | 2006-03-14 |
| 1326016254 | Richard A Frieden | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2006-03-08 |
| 1659349520 | Parag Sheth | Rehabilitation Practitioner | 5 E. 98th Street 6th Floor, Box 1240b, New York, NY 10029 | 2006-03-08 |
| 1194700989 | Lijun Song | Rehabilitation Practitioner | 39 East 20th Street, New York, NY 10003 | 2005-12-14 |
| 1992227748 | William Street Physical Medicine & Rehabilitation | Rehabilitation Practitioner | 100 William St Rm 1215, New York, NY 10038-5036 | 2017-07-13 |
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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.