MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1720555964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720555964 |
| Entity Type | Organization |
| Organization Name | MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | MOUNT SINAI MARATHON MEDICAL - RADIATION ONCOLOGY |
| Practice Address |
1 Healthy Way Oceanside NY 11572-1551 |
| Practice Telephone | 5166323370 |
| Mailing Telephone | 5166323370 |
| 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 | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mount Sinai Marathon Medical - Radiation Oncology | Other Name - Individual/Organization |
| MOUNT SINAI NETWORK PRACTICES - RADIATION ONCOLOGY | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 S Central Ave, Valley Stream, NY 115805443 | 5166323330 |
| 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 |
1 HEALTHY WAY |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824606 | Edward E Mullen | Specialist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-08 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1053921742 | Mount Sinai School of Medicine | Psychiatry & Neurology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-08-06 |
| 1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
| 1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
| 1023639937 | Florence Dasrath | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-01 |
| 1730709312 | Jordana Schmidt-swartz | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-23 |
| 1336769207 | Nia Jagroop | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-21 |
| 1366062523 | Gladys Isabel Palaguachi | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-17 |
| 1578182846 | Amit Elazar | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614184 | Louis Potters | Radiology | 2445 Oceanside Rd, Oceanside, NY 11572-1548 | 2005-07-29 |
| 1174016984 | Icahn School of Medicine At Mount Sinai | Radiology | 1 Healthy Way, Oceanside, NY 11572 | 2018-06-07 |
| 1902109713 | South Nassau Oncology, PC | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2010-12-16 |
| 1801896998 | South Shore Radiation Oncology Associates P C | Radiology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875229 | Msk Nassau | Radiology | 1101 Hempstead Turnpike, Uniondale, NY 11553 | 2019-01-22 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1306231774 | Lucas Resende Salgado | Radiology | 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 | 2015-04-02 |
| 1083008403 | Alan J. Katz, M.d., Pllc | Radiology | 1781 Hylan Blvd, Staten Island, NY 10305-1917 | 2015-03-24 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1295070845 | Ezzat T Youssef | Radiology | 5 Ridge Ave, Staten Island, NY 10304-1418 | 2012-12-09 |
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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.