# ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOUNT SINAI HOSPITAL
- **Other names:** MT SINAI DOCTORS STATEN ISLAND MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457867707
- **Legal business name:** MOUNT SINAI HOSPITAL
- **Authorized official:** JANET STREET (AVP OPERATIONS)
- **Authorized official phone:** (646) 354-3680

## Contact information

- **Practice address:** 476 KLONDIKE AVE, STATEN ISLAND, NY 10314-6216
- **Practice address phone:** (718) 761-1156
- **Practice address fax:** (718) 761-1047
- **Mailing address:** 150 E 42ND ST FL 5, 5.A.30.6, NEW YORK, NY 10017-5612
- **Mailing address phone:** (646) 634-9814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207UN0901X | Nuclear Cardiology Physician | — | NULL | — |
| 207UN0901X | Nuclear Cardiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 12/22/2017
- **Last updated:** 02/26/2026