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ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI 1942792304


NPI Information

NPI: 1942792304
Provider Name: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Other Name: MOUNT SINAI DOCTORS SOUTH NASSAU - INTERNAL/FAMILY MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D0964005

Address:
196 MERRICK RD
OCEANSIDE, NY
ZIP 11572
Phone: (516) 255-8400
Get Directions

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI is an internal medicine in Oceanside, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NPI is 1942792304. 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 - Internal/family Medicine.

The provider's business location address is:

196 MERRICK RD
OCEANSIDE, NY
ZIP 11572
Phone: (516) 255-8400

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 33D0964005 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QB0002XFamily MedicineObesity MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RI0200XInternal MedicineInfectious DiseaseNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8363LA2200XNurse PractitionerAdult HealthNo
9207R00000XInternal MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.