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FPA HOSPITAL BASED NPI 1962743575


NPI Information

NPI: 1962743575
Provider Name: FPA HOSPITAL BASED

Doing Business As: MOUNT SINAI PATHOLOGY OUTREACH

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1468 MADISON AVE
ANNENBERG 15-60
NEW YORK, NY
ZIP 10029
Phone: (212) 731-7772
Get Directions

FPA HOSPITAL BASED is an anatomic pathology and clinical pathology pathology in New York, NY. The provider is 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. FPA HOSPITAL BASED NPI is 1962743575. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mount Sinai Pathology Outreach.

The provider's business location address is:

1468 MADISON AVE
ANNENBERG 15-60
NEW YORK, NY
ZIP 10029-508
Phone: (212) 731-7772
Fax: (212) 534-7491

The provider's authorized official is Crystal Macneill .
The authorized official title is Vp, Cbo Director and has the following contact phone number (212) 241-6228.

The enumeration date for this NPI number is 3/6/2013 and was last updated on 2/27/2015.


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
1207ZB0001XPathologyBlood Banking & Transfusion MedicineCLIA 33D1051889NEW YORKNo
2207ZC0500XPathologyCytopathologyCLIA 33D1051889NEW YORKNo
3207ZF0201XPathologyForensic PathologyCLIA 33D1051889NEW YORKNo
4207ZI0100XPathologyImmunopathologyCLIA 33D1051889NEW YORKNo
5207ZN0500XPathologyNeuropathologyCLIA 33D1051889NEW YORKNo
6207ZP0007XPathologyMolecular Genetic PathologyCLIA 33D1051889NEW YORKNo
7207ZP0213XPathologyPediatric PathologyCLIA 33D1051889NEW YORKNo
8207ZP0102XPathologyAnatomic Pathology & Clinical PathologyCLIA 33D1051889NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A100113363MEDICARE PINNEW YORK

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: 11/14/2023

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