ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI 1720570161

NPI Information

NPI: 1720570161
Provider Name: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Other Name: MOUNT SINAI DOCTORS SOUTH NASSAU - CARDIOVASCULAR

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1 HEALTHY WAY
OCEANSIDE, NY
ZIP 11572
Phone: (877) 768-8462
Get Directions

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 1720570161. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Mount Sinai Doctors South Nassau - Cardiovascular.

The provider's business location address is:

1 HEALTHY WAY
OCEANSIDE, NY
ZIP 11572-551
Phone: (877) 768-8462

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 33D2281459 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2018 and was last updated on 6/16/2018.

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	Primary
1	164W00000X	Licensed Practical Nurse		No
2	163W00000X	Registered Nurse		No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
4	207RI0011X	Internal Medicine	Interventional Cardiology	No
5	208600000X	Surgery		No
6	2086S0129X	Surgery	Vascular Surgery	No
7	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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: 5/5/2024

NPI Synchronization or Removal

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