ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI


Address: 16 Street At 1st Avenue, New York, NY 10003
Phone: 2124204030

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI# 1912376633) 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) 1912376633
Entity Type Organization
Organization Name ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other Organization Name PATHOLOGY DEPARTMENT OF MOUNT SINAI BI
Practice Address 16 Street At 1st Avenue
New York
NY 10003
Mailing Address 150 East 42nd Street
10th Floor
New York
NY 10017
Practice Telephone 2124204030
Mailing Telephone 6466058119
Enumeration Date 2015-09-23
Last Update Date 2015-09-23
Authorized Official Name MS. CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
Authorized Official Telephone 6466058112
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZC0006X Pathology
Specialization: Clinical Pathology
Allopathic & Osteopathic Physicians
N 207ZH0000X Pathology
Specialization: Hematology
Allopathic & Osteopathic Physicians
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Pathology Department of Mount Sinai BI 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
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
1770856254 Icahn School of Medicine At Mount Sinai Radiology 1184 5th Ave # 1236, New York, NY 10029-6503 2012-02-15

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 16 STREET AT 1ST AVENUE
City NEW YORK
State NY
Zip Code 10003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245841410 Therapeutic Alliance of New York Psychologist Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 2020-08-12
1518586999 Sandra Zajac Student in an Organized Health Care Education/Training Program 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 2020-04-15
1235767260 Katharine Krushel Student in an Organized Health Care Education/Training Program Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 2020-03-27
1942836861 Suzanne Redlich Social Worker 340 East 17th Street, Silver L.s53, New York, NY 10003 2020-03-23
1245864271 Maureen Kreider Nurse Practitioner 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 2020-02-28
1235780321 Stacy Hibbert Social Worker 337 East Street, New York, NY 10003 2019-09-20
1841846862 Miryam Alkayyali Student in an Organized Health Care Education/Training Program Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 2019-08-15
1215580600 Anna Catherine Kasprzak Physician Assistant 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 2019-07-24
1154973105 Bob P Silverstein Social Worker 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 2019-07-10
1962064378 Simon Garceau Orthopaedic Surgery 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 2019-07-05
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619359916 Hamza Numan Gokozan Pathology 525 E 68th St Rm F-771a, New York, NY 10065-4870 2015-06-23
1679988612 Lingxin Zhang Pathology 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 2014-06-29
1003227737 Jose Victor Scarpa Carniello Pathology 525 E 68th St Rm F-07766b, New York, NY 10065-4870 2014-05-15
1619310810 Negin Shafizadeh Pathology 550 1st Ave # Th461, New York, NY 10016-6402 2013-04-08
1174870679 Tanu Goyal Pathology 1468 Madison Ave # 00296574, New York, NY 10029 2012-08-14
1881955888 Nina Schatz-siemers Pathology 525 E 68th St # 1031e, New York, NY 10065-4870 2012-06-06
1710246764 Reuben Paul Jacob Pathology 327 E 64th St Rm 520, New York, NY 10065-6704 2012-05-11
1609135995 Dan Lu Pathology 1468 Madison Ave Bldg Rm15-265, New York, NY 10029-6508 2012-05-08
1083998108 Adolfo Firpo-betancourt Pathology 1 Gustave L Levy Pl # 1194, New York, NY 10029-6500 2011-10-07
1629366307 Xiaoqing O'leary Pathology 300 E 54th St Apt 9k, New York, NY 10022-5021 2011-07-15
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City NEW YORK
Zip Code 10003

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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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