MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1578793873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578793873 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | MOUNT SINAI ELMHURST FACULTY PRACTICE GROUP |
| Practice Address |
7901 Broadway Room A1-9 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183344952 |
| Practice Fax Number | 7183344815 |
| Mailing Telephone | 7183344952 |
| Mailing Fax Number | 7183344815 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | MARLON E. BREWER (DIRECTOR) |
| Authorized Official Telephone | 7183342490 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Elmhurst Faculty Practice Group | Doing Business As Name - Organization |
| 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 |
7901 BROADWAY ROOM A1-9 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903006 | Sambasiva Kamineni | Surgery | 7901 Broadway, Elmhurst, NY 11373-1329 | 2005-06-22 |
| 1336748433 | Lina Maria Rodriguez | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-20 |
| 1366049694 | Reinelda Glizel Diaz | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-09 |
| 1831796705 | Keysha Latanya Bonheur | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-05 |
| 1053927657 | Puja Rai | Occupational Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-18 |
| 1619582764 | Tenzin Wangmo | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-14 |
| 1629683578 | Carmen Maria Chavez Fuenmayor | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-08 |
| 1093329179 | Dharma Dilia Herrera Vasquez | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-04 |
| 1366054975 | Mackenzie Jameson | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-08-17 |
| 1639788201 | Nina Mariana Magdalena Andrias-ng | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| 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 |
|---|---|---|---|---|
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1326214529 | Brooklyn Nuclear Spect Imaging, P.C. | Internal Medicine | 8608 Elmhurst Ave, Elmhurst, NY 11373-2506 | 2008-05-07 |
| 1093899619 | Pratik Parikh | Internal Medicine | 133 E Brush Hill Rd Ste 202, Elmhurst, IL 60126-5661 | 2006-10-24 |
| 1992813109 | Oscar Fernandez | Internal Medicine | 8543 55th Ave, Elmhurst, NY 11373-4336 | 2006-08-28 |
| 1366461170 | Michael Jonathan Robbins | Internal Medicine | 9436 58th Ave, Suite G4, Elmhurst, NY 11373-5149 | 2006-07-19 |
| 1366407314 | Lisa M. Nee | Internal Medicine | 429 N York Rd, Elmhurst, IL 60126-2003 | 2006-04-20 |
| 1821449752 | Cardiovascular Care Nyc PC | Internal Medicine | 8708 Justice Ave, Suite 1c, Elmhurst, NY 11373-4575 | 2016-06-22 |
| 1821432329 | Lumen Cardiovascular Specialists,ltd | Internal Medicine | 183 N Addison Ave, Suite 170, Elmhurst, IL 60126-2748 | 2013-04-26 |
| 1487098679 | Cardio Vascular Diagnostics PC | Internal Medicine | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2013-04-18 |
| 1225388952 | Cardiovascular Diagnostics, PC | Internal Medicine | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2012-09-10 |
| Find all providers in ELMHURST | ||||
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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.