ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1487016507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487016507 |
Entity Type | Organization |
Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
Other Organization Name | MOUNT SINAI DOCTORS LIHA |
Practice Address |
200 Old Country Rd Suite 278 Mineola NY 11501-4235 |
Practice Telephone | 5168770977 |
Practice Fax Number | 5162946861 |
Mailing Telephone | 5168770977 |
Mailing Fax Number | 5162946861 |
Enumeration Date | 2016-03-28 |
Last Update Date | 2016-03-28 |
Authorized Official Name | ALICIA GRESHAM (VP OF NETWORK OPERATIONS) |
Authorized Official Telephone | 2126599038 |
Is Organization Subpart | Y |
Parent Organization Name | MOUNT SINAI HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
MOUNT SINAI DOCTORS LIHA | 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 |
200 OLD COUNTRY RD SUITE 278 |
City | MINEOLA |
State | NY |
Zip Code | 11501-4235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
1598323230 | Nyu Langone Hospitals | Clinic/Center | 200 Old Country Rd, Mineola, NY 11501-4235 | 2019-05-29 |
1790282044 | David Elsharouny | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2018-04-11 |
1376078998 | Nadine Ninivaggi | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2017-04-21 |
1740712793 | Navinder Kaur Nat | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2017-03-29 |
1447792908 | Heather Gionesi | Nurse Practitioner | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-11-14 |
1609238781 | Benjamin Little | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-28 |
1134581465 | Amy Hassan | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-25 |
1760842637 | Kellianne Tulley | Physician Assistant | 200 Old Country Rd, Mineola, NY 11501-4235 | 2016-03-04 |
1477911436 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 200 Old Country Rd, Suite 450, Mineola, NY 11501-4235 | 2016-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
Find all providers in zip 11501 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720345879 | Shervin Golbari | Internal Medicine | 200 Old Country Rd Ste 278, Mineola, NY 11501-4298 | 2012-04-13 |
1023115607 | Regina S Druz | Internal Medicine | 121 Jericho Tpke, Mineola, NY 11501-1821 | 2006-09-17 |
1457347999 | Todd Kerwin | Internal Medicine | 212 Jericho Tpke, Mineola, NY 11501-1613 | 2005-09-20 |
1720411010 | Marilyn Mathew Chengot | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2013-08-09 |
1255653739 | Ronald A Stevens Md, PC | Internal Medicine | 166 E Jericho Tpke, Mineola, NY 11501-2098 | 2010-02-24 |
1265762900 | Winthrop Cardiology Associates P C | Internal Medicine | 120 Mineola Blvd., Suite 500, Mineola, NY 11501-4072 | 2009-12-31 |
1720313745 | Beevash Ray | Internal Medicine | 120 Mineola Blvd, Suite 500, Mineola, NY 11501-4064 | 2009-10-08 |
1871721175 | Athanasios Smyrlis | Internal Medicine | 259 1st St, Winthrop University Hospital, Mineola, NY 11501-3957 | 2009-06-24 |
1689800435 | Juan Gaztanaga | Internal Medicine | 120 Mineola Blvd, Suite 500, Mineola, NY 11501-4064 | 2009-06-08 |
1932359908 | Island Wide Medical Associates, PC | Internal Medicine | 80 E Jericho Tpke, Suite 100, Mineola, NY 11501-3140 | 2008-09-25 |
Find all providers in MINEOLA |
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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.