ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI 1417449976

NPI Information

  • NPI: 1417449976
  • Provider Name: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: MOUNT SINAI DOCTORS SOUTH NASSAU
  • CLIA Number: 33D2071015
  • Address: 1 HEALTHY WAY
    OCEANSIDE, NY
    ZIP 11572
  • Phone: (516) 255-1618

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NPI Details

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI is a cardiovascular disease internal medicine in Oceanside, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI is 1417449976. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mount Sinai Doctors South Nassau.

The provider's business location address is:

1 HEALTHY WAY
OCEANSIDE, NY
ZIP 11572
Phone: (516) 255-1618

The provider's authorized official is Alicia Gresham .
The authorized official title is Vp Of Network Operations and has the following contact phone number (212) 659-9038.

The CLIA number assigned to this NPI record is 33D2071015 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 5/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseYes
5207RH0003XInternal MedicineHematology & OncologyNo
6207V00000XObstetrics & GynecologyNo
7207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
82080N0001XPediatricsNeonatal-Perinatal MedicineNo
9208100000XPhysical Medicine & RehabilitationNo
102085R0001XRadiologyRadiation OncologyNo
112085R0202XRadiologyDiagnostic RadiologyNo
12208600000XSurgeryNo
13208M00000XHospitalistNo
142084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
15207ZC0006XPathologyClinical PathologyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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