MOUNT SINAI EMERGENCY PHYSICIANS-WEST SIDE
NPI 1154696615
Emergency Medicine in New York, NY

NPI Status: Active since March 16, 2012

Contact Information

638 COLUMBUS AVE
NEW YORK, NY
ZIP 10024
Phone: (212) 731-7895

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Emergency Medicine
CLIA Number: 33D2158901
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 03-26-2027

About MOUNT SINAI EMERGENCY PHYSICIANS-WEST SIDE

This page provides the complete NPI Profile along with additional information for Mount Sinai Emergency Physicians-west Side, a provider established in New York, New York operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1154696615 assigned on March 2012. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Mount Sinai Emergency Physicians-west Side operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mount Sinai Emergency Physicians-west Side. The authorized official of this NPI record is Crystal Macneill (Vice President, Cbo Director)

NPI: 1154696615
Provider Legal Name: FACULTY PRACTICE ASSOCIATES MOUNT SINAI SCHOOL OF MEDICINE
Other Organization Name: MOUNT SINAI EMERGENCY PHYSICIANS-WEST SIDE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 638 COLUMBUS AVE NEW YORK, NY 10024
Location Phone: (212) 731-7895
Mailing Address: 1 GUSTAVE L LEVY PL # 1621 NEW YORK, NY 10029
Mailing Phone: (212) 731-7895
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-16-2012
Last Update Date: 09-10-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
License State: NY
Taxonomy Description: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CRYSTAL MACNEILL
Authorized Official Title: VICE PRESIDENT, CBO DIRECTOR
Authorized Official Phone: (212) 731-6802

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 33D2158901
Facility Type: Physician Office
Certificate Effective Date: December 10, 2018
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. PETER J. CHARAP
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mount Sinai Emergency Physicians-west Side to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	5	4	6	9	6	6	1	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	10	4	12	9	12	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 9 + 1 + 2 + 6 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1154696615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.