ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1124392238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124392238 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | FPA URGENT CARE CENTER |
| Practice Address |
638 Columbus Ave New York NY 10024-1406 |
| Mailing Address |
150 East 42nd. Street 10th Fl. New York NY 10017-5626 |
| Practice Telephone | 2127317693 |
| Mailing Telephone | 6466058119 |
| Mailing Fax Number | 6466053029 |
| Enumeration Date | 2012-03-07 |
| 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 | 207P00000X | Emergency Medicine | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FPA Urgent Care Center | 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 |
638 COLUMBUS AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1790137941 | Khalida Ismailova | Internal Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2016-07-11 |
| 1376906206 | Louis V. Cicatelli | Family Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2016-03-29 |
| 1548688997 | Catherine Dennett Spaulding | Internal Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2014-04-02 |
| 1568716629 | James H Marcus | Internal Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2012-10-28 |
| 1154696615 | Faculty Practice Associates Mount Sinai School of Medicine | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1588184113 | Elizabeth Boctor | Emergency Medicine | 1901, 1st Avenue, Metropolitan Hospital Center, Dept of Emergency Medicine, New York, NY 10029 | 2017-06-24 |
| 1598129389 | Allan So | Emergency Medicine | 622 W 168th St Ste Vc260, New York, NY 10032-3720 | 2016-04-08 |
| 1255718268 | Anjuli Cogman | Emergency Medicine | 176 Broadway Apt 3c, New York, NY 10038-2516 | 2015-04-28 |
| 1679967525 | Varun Katdare | Emergency Medicine | 1 Gustave L. Place, New York, NY 10029 | 2015-03-27 |
| 1750775979 | Gregory Fernandez | Emergency Medicine | 1 Gustave L. Place, Box 1149, New York, NY 10029 | 2015-03-25 |
| 1053713115 | Krishna Kanth Potluri | Emergency Medicine | 1901 1st Ave # 2a31, New York, NY 10029-7404 | 2014-09-20 |
| 1144635764 | David Attaway | Emergency Medicine | 27 Orchard St Apt 11, New York, NY 10002-6176 | 2014-06-23 |
| 1558781054 | Victoria Ron | Emergency Medicine | 313 W 47th St, Apt 1-w, New York, NY 10036-2407 | 2014-04-23 |
| Find all providers in NEW YORK | ||||
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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.