ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1144844317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144844317 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Practice Address |
485 Merrick Rd Rockville Centre NY 11570-5436 |
| Mailing Address |
150 East 42nd Street 5th Floor, 5.a.30.6 New York NY 10017 |
| Practice Telephone | 5162559555 |
| Mailing Telephone | 6466054113 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | PUNITA DARJI (VP NETWORK OPERATIONS) |
| Authorized Official Telephone | 2126599038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| MOUNT SINAI SN HOSPITAL PHYSICIANS-RALI PET IDTF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
485 MERRICK RD |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420144 | Icahn School of Medicine At Mount Sinai | Radiology | 485 Merrick Rd, Rockville Centre, NY 11570-5436 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470453 | Icahn School of Medicine At Mount Sinai | Physiological Laboratory | 119 N Park Ave, Rockville Centre, NY 11570-4113 | 2020-06-05 |
| 1164070827 | Mount Sinai School of Medicine | Physiological Laboratory | 119 N Park Ave, Rockville Centre, NY 11570-4113 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876483 | Mas Imaging Portable X-ray Inc | Physiological Laboratory | 90 Arrival Ave Ste 105, Ronkonkoma, NY 11779-7361 | 2019-08-13 |
| 1144798596 | Heart Smart Inc. | Physiological Laboratory | 1160 E Jericho Tpke Ste 204, Huntington, NY 11743-5405 | 2018-11-04 |
| 1093292229 | Empire Sleep Testing LLC | Physiological Laboratory | 2810 Sweet Home Rd, Amherst, NY 14228-1347 | 2018-07-20 |
| 1700389616 | Cardiac Monitoring Services, LLC | Physiological Laboratory | 232 West Main St, Mountor Falls, NY 14865 | 2018-03-16 |
| 1437673811 | Accu Home Testing LLC | Physiological Laboratory | 544 Park Ave Ste 635, Brooklyn, NY 11205-1600 | 2017-07-27 |
| 1427586726 | O-k Diagnostics LLC | Physiological Laboratory | 4176 Victory Blvd, Staten Island, NY 10314-6739 | 2017-05-31 |
| 1578005500 | Rhythm Management Solutions,llc | Physiological Laboratory | 179 South St Ste 100, Oyster Bay, NY 11771-2239 | 2016-11-08 |
| 1508308693 | Imaging Consultants and Billing of Ny, LLC | Physiological Laboratory | 1249 E 68th St, Brooklyn, NY 11234-5721 | 2016-11-07 |
| 1003279910 | Nova Diagnostics Inc | Physiological Laboratory | 2554 Cropsey Ave, 1st Floor, Brooklyn, NY 11214-6606 | 2016-03-30 |
| 1235590985 | Geneva Healthcare, LLC | Physiological Laboratory | 3 Columbus Cir Fl 15, New York, NY 10019-8716 | 2016-03-09 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.