ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1538538152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538538152 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | THORACIC SURGERY DEPARTMENT OF MOUNT SINAI SLR |
| Practice Address |
1000 10th Avenue New York NY 10019 |
| Mailing Address |
150 East 42nd Street 10th Floor New York NY 10017 |
| Practice Telephone | 2125237475 |
| 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 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Thoracic Surgery Department of Mount Sinai SLR | 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 |
1000 10TH AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489625 | Nolan J Kagetsu | Radiology | 1000 10th Avenue, New York, NY 10019 | 2006-06-26 |
| 1780214411 | Angela Younglim Koo | Pharmacist | 1000 10th Avenue, Department of Pharmacy, Room 2b-36, New York, NY 10019 | 2020-01-22 |
| 1326500158 | Mona Fayad | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-04-01 |
| 1316408008 | Andrea Leyton-mange | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-03-26 |
| 1740659390 | Icahn School of Medicine At Mount Sinai | Pathology | 1000 10th Avenue, New York, NY 10019 | 2015-09-24 |
| 1922477538 | Icahn School of Medicine At Mount Sinai | Physical Medicine & Rehabilitation | 1000 10th Avenue, New York, NY 10019 | 2015-09-24 |
| 1740659424 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 1000 10th Avenue, New York, NY 10019 | 2015-09-23 |
| 1508115189 | January Massin | Psychologist | 1000 10th Avenue, 8g-45, New York, NY 10019 | 2012-08-29 |
| 1427388974 | Mary Brigid Mckenna Murray | Clinic/Center | 1000 10th Avenue, Suite 11a-10, New York, NY 10019 | 2010-01-06 |
| 1720318363 | Ryan Ralat | Physician Assistant | 1000 10th Avenue, Suite 5g77, New York, NY 10019 | 2010-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986925 | Arthur Robert Dresdale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 E 83rd St Apt 10b, New York, NY 10028-6265 | 2020-09-13 |
| 1366078677 | Philippe H Lemaitre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 Fort Washington Ave Ste 336, New York, NY 10032-3729 | 2020-03-18 |
| 1932734324 | Ismail El-hamamsy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mount Sinai Hospital (cardiovascular Surgery), 1190 5th Avenue, Gp 2w, New York, NY 10029 | 2020-03-06 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1720410756 | Luis E Cortes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 E 84th St, New York, NY 10028-7301 | 2013-08-01 |
| 1104268077 | Thitipong Tepsuwan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Gustave L. Levy Place, Mount Sinai Hospital, Department of Cardiothoracic Surgery, New York, NY 10029 | 2013-07-22 |
| 1073867586 | Christos I. Stavropoulos, Md, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 39 Vestry St, Apt. #1-a, New York, NY 10013-1766 | 2012-11-06 |
| 1972872885 | Lon S Annest | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2101 Frederick Douglass Blvd, 10b, New York, NY 10026-3469 | 2011-12-21 |
| 1841582681 | Shinobu Itagaki | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 121 E 97th St Apt 24, New York, NY 10029-7221 | 2011-05-12 |
| 1144524349 | Gilbert Hin Lung Tang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1190 5th Ave # Gp2w, Box 1028, New York, NY 10029-6503 | 2011-01-03 |
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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.