ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1104295716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295716 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | SURGERY DEPARTMENT OF MOUNT SINAI BI |
| Practice Address |
10 Union Square East New York NY 10003 |
| Mailing Address |
150 East 42nd Street 10th Floor New York NY 10017 |
| Practice Telephone | 2128448200 |
| Mailing Telephone | 6466058119 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Surgery Department of Mount Sinai BI | 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 |
10 UNION SQUARE EAST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775930 | Patricia C Villamena | Internal Medicine | 10 Union Square East, New York, NY 10003-3314 | 2005-10-27 |
| 1215546627 | Caroline Victoria Welsh | Nurse Practitioner | 10 Union Square East, New York, NY 10003 | 2020-07-31 |
| 1396304408 | Edward Ilya Anssari Moin | Student in an Organized Health Care Education/Training Program | 10 Union Square East, Suite 5b, New York, NY 10003 | 2019-06-12 |
| 1063983526 | Oxana Romanov | Nurse Practitioner | 10 Union Square East, New York, NY 10003 | 2018-12-10 |
| 1649641325 | Samantha Su | Pharmacist | 10 Union Square East, 3g, New York, NY 10003 | 2015-10-07 |
| 1083083604 | Icahn School of Medicine At Mount Sinai | Urology | 10 Union Square East, New York, NY 10003 | 2015-09-24 |
| 1811366461 | Icahn School of Medicine At Mount Sinai | Psychiatry & Neurology | 10 Union Square East, New York, NY 10003 | 2015-09-24 |
| 1538538210 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
| 1063881787 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
| 1972972693 | Icahn School of Medicine At Mount Sinai | Orthopaedic Surgery | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| 1386126944 | Gregory Knapp | Surgery | 303 E 71st St, New York, NY 10021-4719 | 2018-08-30 |
| 1821584954 | Laura Wang | Surgery | 1233 York Ave Apt 6o, New York, NY 10065-6342 | 2018-07-01 |
| 1588164966 | Noritsugu Naito | Surgery | Nyu Langone Medical Center, 550 1st Ave, New York, NY 10016-6402 | 2018-02-13 |
| 1477006591 | Andrew Hallett | Surgery | 545 1st Ave Apt 10l, New York, NY 10016-6401 | 2016-07-25 |
| 1538512850 | Hae Lee | Surgery | 577 Grand Street, F804, New York, NY 10002-6612 | 2016-07-21 |
| 1629421300 | New Health Medical C&d Pllc | Surgery | 139 Fulton St Rm 201, New York, NY 10038-2538 | 2016-07-19 |
| 1225425200 | Elie Ramly | Surgery | 545 1st Ave Apt 7e, New York, NY 10016-6401 | 2015-04-17 |
| 1932595840 | Matthew Carpiniello | Surgery | 425 W 59th St Fl 7, New York, NY 10019 | 2015-04-08 |
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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.