MT SINAI DOCTORS SI-VICTORY INT MED
NPI 1447640024
Internal Medicine in Staten Island, NY
About Mt Sinai Doctors Si-victory Int Med NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MT SINAI DOCTORS SI-VICTORY INT MED (NPI 1447640024) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since February 2015. The organization maintains a secondary practice location in Staten Island and lists Alicia Gresham, Vp Network Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mt Sinai Doctors Si-victory Int Med is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mt Sinai Doctors Si-Victory Int Med, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 1447640024. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as Mt Sinai Doctors Si-Victory Int Med.
Where is Icahn School Of Medicine At Mount Sinai located?
Icahn School Of Medicine At Mount Sinai is located at 2315 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 477-6900.
What is Icahn School Of Medicine At Mount Sinai's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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), 8 clinicians in 2 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 Internal Medicine (7) and Nurse Practitioner (1). Of these, 8 practice at this address. 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 January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mt Sinai Doctors Si-Victory Int Med · NPI 1447640024
Internal Medicine organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1447640024 (Entity type: Organization)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Icahn School Of Medicine At Mount Sinai
- **Organization subpart:** Yes (part of Mount Sinai Hospital)
- **Authorized official:** Alicia Gresham, VP NETWORK OPERATIONS
## Practice location
- **Address:** 2315 VICTORY BLVD, Staten Island, NY 10314-6623
- **Phone:** (718) 477-6900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (7), Nurse Practitioner (1); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1447640024) · Data from the CMS NPPES public registry.