ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1750647152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750647152 |
| Entity Type | Organization |
| Organization Name | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| Other Organization Name | UROLOGY DEPARTMENT OF MOUNT SINAI |
| Practice Address |
5 E 98th St Fl 6 Box 1272 New York NY 10029-6501 |
| Mailing Address |
Po Box 28082 New York NY 10087-8082 |
| Practice Telephone | 2122414812 |
| Practice Fax Number | 2129874675 |
| Mailing Telephone | 2129873100 |
| Mailing Fax Number | 6466053029 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | CRYSTAL MACNEILL (CBO DIRECTOR, VICE PRESIDENT) |
| Authorized Official Telephone | 6466058112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UROLOGY DEPARTMENT OF MOUNT SINAI | 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 |
5 E 98TH ST FL 6 BOX 1272 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016254 | Richard A Frieden | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2006-03-08 |
| 1275130916 | Jina M Joseph | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2020-10-06 |
| 1013568849 | Ian Michael Haas | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2019-09-23 |
| 1952965659 | Talia Stark | Student in an Organized Health Care Education/Training Program | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2019-04-28 |
| 1780079517 | Samantha Leigh Haughton | Physician Assistant | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2015-03-30 |
| 1497094270 | Eliana Cardozo | Physical Medicine & Rehabilitation | 5 E 98th St Fl 6, New York, NY 10029-6501 | 2013-02-13 |
| 1104162700 | Icahn School of Medicine At Mount Sinai | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2012-12-31 |
| 1477899078 | Icahn School of Medicine At Mount Sinai | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2012-12-31 |
| 1386980985 | Icahn School of Medicine At Mount Sinai | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2012-12-31 |
| 1659675320 | Anzhela Izrailova | Nurse Practitioner | 5 E 98th St Fl 6, Department of Anesthesia, New York, NY 10029-6501 | 2011-01-10 |
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| 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 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| 1588025654 | Brm Holdings LLC | Urology | 930 5th Ave Apt 8h, New York, NY 10021-2680 | 2016-03-16 |
| 1720405020 | Boston Medical, P.C. | Urology | 45 W. 34th Street, Suite 901, New York, NY 10016 | 2014-03-25 |
| 1740622646 | Stanley Arthur Ginsberg | Urology | 401 East 80th St, Apt 9k, New York, NY 10075-0298 | 2013-07-22 |
| 1871842997 | Gerald Zelikovsky, M.d., P.C. | Urology | 5 East 84th Street, New York, NY 10002-0407 | 2012-09-05 |
| 1154679876 | Jawad Antoine Feghali | Urology | 215 E 77th St Apt 2e, New York, NY 10075-2101 | 2012-08-28 |
| 1467714576 | Mohit Gupta | Urology | 222 E 41st St Fl 12, New York, NY 10017-6739 | 2012-06-14 |
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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.