MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1720555089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720555089 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | MOUNT SINAI MARATHON MEDICAL - HEM / ONC |
| Practice Address |
2209 Merrick Rd Ste 101 Merrick NY 11566-4770 |
| Practice Telephone | 5165465000 |
| Mailing Telephone | 5165465000 |
| 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 | 163WX0200X |
Registered Nurse Specialization: Oncology |
Nursing Service Providers | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Marathon Medical - Hem / Onc | Other Name - Individual/Organization |
| MOUNT SINAI NETWORK PRACTICES - HEM / ONC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 242 Merrick Rd Ste 301, Rockville Centre, NY 115705254 | 5165361455 |
| 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 |
2209 MERRICK RD STE 101 |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912499401 | Icahn School of Medicine At Mount Sinai | Registered Nurse | 2209 Merrick Rd Ste 101, Merrick, NY 11566 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722657 | Francis Gregory Coffey | Psychologist | 124 N Merrick Ave, Merrick, NY 11566 | 2019-04-15 |
| 1013436732 | Elisabeth Chandlin Walker | Speech-Language Pathologist | 2825 Bay Dr, Merrick, NY 11566 | 2017-09-13 |
| 1720509938 | Gloria Lebeaux | Social Worker | 1860 Nassau Street, Merrick, NY 11566 | 2017-06-28 |
| 1104350941 | Sari Klar | Counselor | 1991 Norshon Rd, Merrick, NY 11566 | 2017-04-19 |
| 1447790563 | Yash Shah | Student in an Organized Health Care Education/Training Program | 1068 Susan Ct, Merrick, NY 11566 | 2017-03-08 |
| 1457700320 | Rachel Zimmern | Specialist | 16 Arbor Ln, Merrick, NY 11566 | 2016-06-10 |
| 1326435785 | Christine Cione | Counselor | 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 | 2015-04-22 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1629496575 | Sara D Lobato | Registered Nurse | 1970 Brook Park Dr, Merrick, NY 11566 | 2014-03-28 |
| 1558704890 | Natacha Jacqueline Bastien | Licensed Practical Nurse | 1961 Meadowbrook Rd, Merrick, NY 11566 | 2013-04-16 |
| Find all providers in zip 11566 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
| 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.