ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI – NPI #1912499401
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI is a provider located in MERRICK, NY. NPPES has assigned the NPI number 1912499401 to ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI on May 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI is also known by the name MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 8 years ago on Jun 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI below.

NPI Profile for
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

NPI Number
1912499401
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other Name: MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY
Primary location
2209 MERRICK RD STE 101
MERRICK, NY 11566
Phone: (516) 546-5000 Fax:
1 Other location(s):
1 Healthy Way
Oceanside, NY 11572-1551
Phone: (516) 546-5000
Mailing address
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone: Fax:
Organization Subpart
No
Authorized Official
ALICIA GRESHAM
VP OF NETWORK OPERATIONS
Phone: (212) 659-9038
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.