ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI


Address: 1428 Madison Ave, 1st Floor, New York, NY 10029-6508
Phone: 2122418717

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1679814974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679814974
Entity Type Organization
Organization Name ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other Organization Name GENETICS AND GENOMIC SCIENCES DEPARTMENT OF MOUNT SINAI
Practice Address 1428 Madison Ave
1st Floor
New York
NY 10029-6508
Mailing Address 150 East 42nd Street
10th Floor
New York
NY 10017-5626
Practice Telephone 2122418717
Practice Fax Number 2128767805
Mailing Telephone 6466058119
Mailing Fax Number 6466053031
Enumeration Date 2013-03-12
Last Update Date 2016-03-14
Authorized Official Name MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
Authorized Official Telephone 6466058112
Is Organization Subpart Y
Parent Organization Name MOUNT SINAI SCHOOL OF MEDICINE, FPA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Genetics and Genomic Sciences Department of Mount Sinai Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1428 MADISON AVE
1ST FLOOR
City NEW YORK
State NY
Zip Code 10029-6508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316986359 Mount Sinai School of Medicine Pathology 1428 Madison Ave, Atran 610, New York, NY 10029-6508 2006-06-05
1356940928 Tehilla Esther Brander Genetic Counselor, MS 1428 Madison Ave, New York, NY 10029-6508 2020-10-23
1215565676 Casey Siegel Dietitian, Registered 1428 Madison Ave, New York, NY 10029-6508 2020-03-31
1790313666 Luca Fierro Genetic Counselor, MS 1428 Madison Ave, New York, NY 10029-6508 2020-03-27
1689201717 Jane Robinowitz Genetic Counselor, MS 1428 Madison Ave, New York, NY 10029-6508 2020-03-26
1225696636 Veronica Fettig Genetic Counselor, MS 1428 Madison Ave, New York, NY 10029-6508 2019-05-31
1659802734 Varsha Nair Student in an Organized Health Care Education/Training Program 1428 Madison Ave, Annenberg Building. 15th Floor, New York, NY 10029-6508 2017-03-21
1376083048 Julie Gold Genetic Counselor, MS 1428 Madison Ave, 1st Floor, New York, NY 10029-6508 2017-03-01
1770945743 Cassie Susan Mintz Medical Genetics 1428 Madison Ave, New York, NY 10029-6508 2016-03-28
1134521230 Avery Elizabeth Miller Genetic Counselor, MS 1428 Madison Ave, New York, NY 10029 2014-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316547029 Erica Marie Mclaughlin Counselor 109 E. 115th Street, New York, NY 10029 2020-10-30
1992305601 Ayan Kumar Student in an Organized Health Care Education/Training Program New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 2020-10-30
1538767306 Noily Noemi Nezbeth Registered Nurse 1 Gustav Levy, New York, NY 10029 2020-10-14
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1225635014 Alice Liang Registered Nurse 35 East 110th St, New York, NY 10029 2020-10-05
1013525724 Avihai Moscovici Student in an Organized Health Care Education/Training Program 1 Gustave L. Levy Pl, New York, New York, NY 10029 2020-07-20
1912523473 Gayathri Sreenivasan Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 2020-06-22
1417572801 Rachana Borkar Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 2020-06-11
1831713197 Dania Isabel Antunez Student in an Organized Health Care Education/Training Program 1901 1 St Avenue, New York, NY 10029 2020-06-02
1972122323 Antoine Beayno Student in an Organized Health Care Education/Training Program The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 2020-04-15
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518987429 Ira R. Hoffman Md and Murray R. Rogers, Md PC Medical Genetics, Ph.D. Medical Genetics 122 East 76th Street, #1c, New York, NY 10021-2833 2006-07-20
1740224559 Mount Sinai School of Medicine Medical Genetics, Ph.D. Medical Genetics One Gustave Levy Pl., New York, NY 10029 2006-06-15
1730127937 Haruyo Fujiwaki Medical Genetics, Ph.D. Medical Genetics 3 E 68th St, New York, NY 10021-4903 2006-06-02
1265495907 Giampiero A. Martignetti Medical Genetics, Ph.D. Medical Genetics Mt Sinai School of Medicine, 1425 Madison Avenue - Box 1498, New York, NY 10029-0029 2006-04-11
1023401163 Nyces Endoscopy Surgicare-pc Medical Genetics, Ph.D. Medical Genetics 154 W 127th St, New York, NY 10027-3739 2015-03-13
1770872905 Manhattan Plastic Surgery Pllc Medical Genetics, Ph.D. Medical Genetics 45 East 85th Street, Suite 1a, New York, NY 10028 2011-03-28
1639325079 Vaidehi Jobanputra Medical Genetics, Ph.D. Medical Genetics 3959 Broadway, Chc - 406, New York, NY 10032-1559 2008-08-18
1427245356 Kavita S Reddy Medical Genetics, Ph.D. Medical Genetics 521 W 57th St, New York, NY 10019-2929 2007-09-25
1295920130 Meira F Shaham Medical Genetics, Ph.D. Medical Genetics 521 W 57th St, New York, NY 10019-2929 2007-09-13
1780879619 Veena Suri Medical Genetics, Ph.D. Medical Genetics 521 W 57th St, New York, NY 10019-2929 2007-09-13
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City NEW YORK
Zip Code 10029

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Dataset Information

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.

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