NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
NPI 1174230221
Podiatrist in Manhasset, NY

Active since October 28, 2022CLIA 33D2160731 · Waiver
1155 NORTHERN BLVD, MANHASSET, NY 11030(516) 407-4000 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Shore Medical Group Of The Mount Sinai School Of Medicine NPPES

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

NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (NPI 1174230221) is a healthcare organization registered as a podiatrist in Manhasset, New York and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Janet Street, Vp Network Operations, as its authorized official.

NPPES Registry Identity

NPI1174230221
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Location Address1155 NORTHERN BLVDManhasset, NY 11030-3040
Mailing Address1155 Northern BlvdManhasset, NY 11030-3040 · (516) 407-4000
Organization SubpartNo
Authorized OfficialJanet StreetVp Network Operations · (646) 354-3680
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
NPI 1174230221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1155 NORTHERN BLVD, Manhasset, NY 11030

Other Names 1

Other NameMount Sinai Doctors Manhasset

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2160731

North Shore Medical Group · Manhasset, NY
Active · expires Mar 26, 2027
CLIA Number33D2160731
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stephen Tranchina
Laboratory Phone(516) 407-4000
Laboratory LocationNorth Shore Medical Group1155 Northern Blvd, Manhasset, NY 11030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Family Medicine
1155 NORTHERN BLVD
MANHASSET, NY 11030
Internal Medicine (Cardiovascular Disease)
1155 NORTHERN BLVD
MANHASSET, NY 11030
Surgery
1155 NORTHERN BLVD, STE 310
MANHASSET, NY 11030
Internal Medicine (Gastroenterology)
1155 NORTHERN BLVD, SUITE 360
MANHASSET, NY 11030
Plastic Surgery
1155 NORTHERN BLVD, SUITE 110
MANHASSET, NY 11030
Internal Medicine (Clinical Cardiac Electrophysiology)
1155 NORTHERN BLVD, SUITE 330
MANHASSET, NY 11030

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 North Shore Medical Group Of The Mount Sinai School Of Medicine's NPI number?

The NPI number for North Shore Medical Group Of The Mount Sinai School Of Medicine is 1174230221. It was assigned to this organization in the NPPES registry on October 28, 2022. The provider is also known as Mount Sinai Doctors Manhasset.

Where is North Shore Medical Group Of The Mount Sinai School Of Medicine located?

North Shore Medical Group Of The Mount Sinai School Of Medicine is located at 1155 Northern Blvd, Manhasset, NY 11030. The listed phone number is (516) 407-4000.

What is North Shore Medical Group Of The Mount Sinai School Of Medicine's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does North Shore Medical Group Of The Mount Sinai School Of Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2160731) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Medical Group Of The Mount Sinai School Of Medicine was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.