MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1396212536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396212536 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | MOUNT SINAI MARATHON MEDICAL - RADIOLOGY |
| Practice Address |
1 Healthy Way Oceanside NY 11572-1551 |
| Mailing Address |
119 N Park Ave Ste 101 Rockville Centre NY 11570-4113 |
| Practice Telephone | 5166323921 |
| Mailing Telephone | 5162559555 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | ALICIA GRESHAM (VP NETWORK OPERATIONS) |
| Authorized Official Telephone | 2126599038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Marathon Medical - Radiology | Other Name - Individual/Organization |
| MOUNT SINAI NETWORK PRACTICES- RADIOLOGY | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 N Park Ave Ste 101, Rockville Centre, NY 115704113 | 5162559555 | |
| 185 Merrick Rd, Oceanside, NY 115721431 | 5166323921 | |
| 440 Merrick Rd, Oceanside, NY 115721404 | 5162558220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1215281910 | Mount Sinai School of Medicine | Obstetrics & Gynecology | 8268 164th St Rm B265, Jamaica, NY 11432-1121 | 2012-11-01 |
| 1386906584 | Mount Sinai School of Medicine | Internal Medicine | 177 E 87th St Ste 507, New York, NY 10128-2226 | 2012-06-13 |
| 1730315177 | Mount Sinai School of Medicine | Internal Medicine | 143 - 05 Hillside Avenue, Jamaica, NY 11435 | 2009-05-29 |
| 1801045646 | Mount Sinai School of Medicine | Surgery | 5 E 98th St Fl 14, New York, NY 10029-6501 | 2008-09-17 |
| 1639338635 | Mount Sinai School of Medicine | Chronic Disease Hospital | 777 Foster Ave, Apt 5f, Brooklyn, NY 11230-1352 | 2008-06-04 |
| 1326207705 | Mount Sinai School of Medicine | Internal Medicine | 143 05 Hillside Avenue, Jamaica, NY 11435 | 2008-06-02 |
| 1558589010 | Mount Sinai School of Medicine | Pediatrics | 5 Esat 98th. Street 12th. Floor, New York, NY 10029-6574 | 2007-04-23 |
| 1629087267 | Mount Sinai School of Medicine | Pediatrics | 5 East 98th. Street 12th. Floor, New York, NY 10029-6574 | 2006-08-05 |
| 1629091921 | Mount Sinai School of Medicine | Internal Medicine | I Gustave Levy Place, Ruttenberg Treatment Center, New York, NY 10029-6574 | 2006-07-26 |
| Street Address |
1 HEALTHY WAY |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824606 | Edward E Mullen | Specialist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-08 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1053921742 | Mount Sinai School of Medicine | Psychiatry & Neurology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-08-06 |
| 1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
| 1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
| 1023639937 | Florence Dasrath | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-01 |
| 1730709312 | Jordana Schmidt-swartz | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-23 |
| 1336769207 | Nia Jagroop | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-21 |
| 1366062523 | Gladys Isabel Palaguachi | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-17 |
| 1578182846 | Amit Elazar | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780997 | Bruce J Biederman | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-06-15 |
| 1255418448 | Jeffrey Steven Miller | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-11-01 |
| 1740360551 | North County Radiology Medical Group | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
| 1992327134 | Dongmei Jiang | Radiology | 15041 26th Ave, Flushing, NY 11354-1513 | 2020-05-11 |
| 1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
| 1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
| 1184038069 | Kimberly Owens | Radiology | 1783 Route 9 Ste 104, Halfmoon, NY 12065-2465 | 2014-06-18 |
| 1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
| 1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
| 1518248657 | Kelly M Barna | Radiology | 150 E. Sunrise Highway, Lindenhurst, NY 11757 | 2011-09-02 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1326345893 | Excel Imaging PC | Radiology | 7235 51st Ave, Suite B, Woodside, NY 11377-7610 | 2011-02-18 |
| Find all providers with the same taxonomy | ||||
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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.