MOUNT SINAI HOSPITAL BASED PROVIDERS
NPI 1104162700
Pathology - Anatomic Pathology & Clinical Pathology in New York, NY

Active since December 31, 2012
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mount Sinai Hospital Based Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT SINAI HOSPITAL BASED PROVIDERS (NPI 1104162700) is a healthcare organization registered as an anatomic pathology & clinical pathology in New York, New York and active in the NPI registry since December 2012. The organization maintains a secondary practice location in New York and lists Edward A Peterson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104162700
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address150 E 42nd St Fl 2New York, NY 10017-5612 · (646) 605-8119
Organization SubpartNo
Authorized OfficialEdward A PetersonAuthorized Official · (646) 605-8145
Enumeration DateDecember 31, 2012
Last NPPES UpdateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
✔ NPI 1104162700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
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.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1 GUSTAVE L LEVY PL, New York, NY 10029

Other Names 1

Doing Business AsMount Sinai Hospital Based Providers

Secondary Practice Location 1

Location 15 E 98th St Fl 6, Box 1240BNew York, NY 10029-6501 · Phone (212) 241-5643 · Fax (212) 369-6389

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mount Sinai Hospital Based Providers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to Mount Sinai Hospital Based Providers, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 84 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Pathology91
Gastroenterology6
Cardiac Surgery2
Cardiovascular Disease (Cardiology)2
Clinical Psychologist2
Otolaryngology2
Colorectal Surgery (Proctology)1
Dentist1
6 other specialties6

Nearest to this location (20)

See all 113
Pathology
NPI 1700271400
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-9277
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1871894840
1 GUSTAVE L LEVY PL BOX 1240
New York, NY 10029
(212) 241-7587
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1578866992
1 GUSTAVE LEVY PL
New York, NY 10029
(917) 575-0498
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1932310547
1 GUSTAVE L LEVY PL FL 15
New York, NY 10029
(212) 241-0440
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1790348936
1 GUSTAVE L. LEVY PLACE
New York, NY 10029
(773) 322-2529
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1376572933
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 427-1540
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1487067948
1 GUSTAVE L LEVY PL ANNENBERG 15-26
New York, NY 10029
(212) 241-0705
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1871522128
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-8847
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1174100390
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-8014
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1710474903
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-6696
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1912599879
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-7215
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1306067186
1 GUSTAVE L LEVY PL
New York, NY 10029
(212) 241-5307
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1518967421
1 GUSTAVE L LEVY PL PATHOLOGY, ANNENBERG 15-28
New York, NY 10029
(212) 241-6270
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1710987623
1 GUSTAVE L LEVY PL ANNENBERG 15-38
New York, NY 10029
(212) 241-6692
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1730187667
1 GUSTAVE L LEVY PL PATHOLOGY
New York, NY 10029
(212) 241-3784
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1952564163
1 GUSTAVE L LEVY PL DEPT OF PATHOLOGY
New York, NY 10029
(212) 659-8143
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1730112202
1190 5TH AVE # 1028 BOX 1028
New York, NY 10029
(212) 659-6829
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1932146677
1190 5TH AVE
New York, NY 10029
(212) 241-6756
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1780635680
1190 5TH AVE RUTTENBERG TREATMENT CENTER 1ST FLOOR
New York, NY 10029
(212) 427-9898
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1275709941
1190 5TH AVE
New York, NY 10029
(212) 427-1540
✔ PECOS✔ Accepts MedicareSame address
See all 113 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icahn School Of Medicine At Mount Sinai's NPI number?

The NPI number for Icahn School Of Medicine At Mount Sinai is 1104162700. It was assigned to this organization in the NPPES registry on December 31, 2012. The provider is doing business as Mount Sinai Hospital Based Providers.

Where is Icahn School Of Medicine At Mount Sinai located?

Icahn School Of Medicine At Mount Sinai is located at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Icahn School Of Medicine At Mount Sinai's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Icahn School Of Medicine At Mount Sinai enrolled in Medicare?

Yes. Icahn School Of Medicine At Mount Sinai is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Icahn School Of Medicine At Mount Sinai?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 14 Medicare specialties reassign their Medicare billing to Icahn School Of Medicine At Mount Sinai. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pathology (91), Gastroenterology (6) and Cardiac Surgery (2). Of these, 25 practice at this address and 84 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Icahn School Of Medicine At Mount Sinai was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.