ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
NPI 1457867707
Internal Medicine - Hematology & Oncology in Staten Island, NY

Active since December 22, 2017
476 KLONDIKE AVE, STATEN ISLAND, NY 10314(718) 761-1156(718) 761-1047 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Icahn School Of Medicine At Mount Sinai NPPES

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

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI (NPI 1457867707), doing business as Mt Sinai Doctors Staten Island Medicine, is a healthcare organization registered as a hematology & oncology in Staten Island, New York and active in the NPI registry since December 2017. The organization maintains 4 additional practice locations and lists Janet Street, Avp Operations, as its authorized official.

NPPES Registry Identity

NPI1457867707
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Location Address476 KLONDIKE AVEStaten Island, NY 10314-6216
Mailing Address150 E 42nd St Fl 5, 5.a.30.6New York, NY 10017-5612 · (646) 634-9814
Fax(718) 761-1047
Organization SubpartYesParent: Mount Sinai Hospital
Authorized OfficialJanet StreetAvp Operations · (646) 354-3680
Enumeration DateDecember 22, 2017
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1457867707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
476 KLONDIKE AVE, Staten Island, NY 10314

Other Names 1

Doing Business AsMt Sinai Doctors Staten Island Medicine

Secondary Practice Locations 4

Location 111 Ralph Pl Ste 201Staten Island, NY 10304-4405 · Phone (718) 981-2684
Location 2283 Bard AveStaten Island, NY 10310-1664 · Phone (718) 816-8068
Location 31441 South Ave Ste 206&207Staten Island, NY 10314-3779 · Phone (718) 987-9777
Location 41441 South AveStaten Island, NY 10314-3779 · Phone (332) 243-6900

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icahn School Of Medicine At Mount Sinai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Icahn School Of Medicine At Mount Sinai, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Diagnostic Radiology38
Cardiovascular Disease (Cardiology)4
Internal Medicine4
Gastroenterology3
Hematology/Oncology3
Nurse Practitioner3
Endocrinology2
Interventional Radiology2
5 other specialties6

Nearest to this location (20)

See all 65
Internal Medicine
NPI 1861461345
476 KLONDIKE AVE
Staten Island, NY 10314
(718) 761-1156
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1043272719
476 KLONDIKE AVE
Staten Island, NY 10314
(718) 761-1156
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1588638142
2315 VICTORY BLVD
Staten Island, NY 10314
(718) 477-6900
✔ PECOS✔ Accepts Medicare1.8 mi
Diagnostic Radiology
NPI 1225085129
1441 SOUTH AVE
Staten Island, NY 10314
(332) 243-6900
✔ PECOS✔ Accepts Medicare1.9 mi
Endocrinology
NPI 1477664134
774 MANOR RD SUITE 208
Staten Island, NY 10314
(718) 273-5522
✔ PECOS✔ Accepts Medicare2.2 mi
Endocrinology
NPI 1598320947
754 MANOR RD
Staten Island, NY 10314
(718) 981-2684
✔ PECOS✔ Accepts Medicare2.3 mi
Hematology/Oncology
NPI 1699791459
1910 RICHMOND RD
Staten Island, NY 10306
(718) 987-9777
✔ PECOS✔ Accepts Medicare2.4 mi
Gastroenterology
NPI 1063588127
129 SLOSSON AVE
Staten Island, NY 10314
(718) 720-5928
✔ PECOS✔ Accepts Medicare2.9 mi
Gastroenterology
NPI 1588721658
4434 AMBOY RD
Staten Island, NY 10312
(718) 351-8700
✔ PECOS✔ Accepts Medicare2.9 mi
Cardiovascular Disease (Cardiology)
NPI 1558416776
1366 VICTORY BLVD STE B
Staten Island, NY 10301
(718) 442-8351
✔ PECOS✔ Accepts Medicare3.0 mi
Cardiovascular Disease (Cardiology)
NPI 1477545796
47 LITTLE CLOVE RD MOUNT SINAI HEART
Staten Island, NY 10301
(718) 273-9080
✔ PECOS✔ Accepts Medicare3.3 mi
Cardiovascular Disease (Cardiology)
NPI 1811942501
11 RALPH PL SUITE 109
Staten Island, NY 10304
(718) 981-3674
✔ PECOS✔ Accepts Medicare3.5 mi
Cardiovascular Disease (Cardiology)
NPI 1841237526
11 RALPH PLACE SUITE 109
Staten Island, NY 10304
(718) 981-2684
✔ PECOS✔ Accepts Medicare3.5 mi
Internal Medicine
NPI 1073574240
4771 HYLAN BLVD
Staten Island, NY 10312
(718) 948-8200
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1831631795
878 VAN DUZER ST
Staten Island, NY 10304
(646) 339-2321
✔ PECOS✔ Accepts Medicare4.1 mi
Interventional Cardiology
NPI 1639557382
300 BARD AVE
Staten Island, NY 10310
(718) 818-1234
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1932696762
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1740853548
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts Medicare4.3 mi
Pulmonary Disease
NPI 1821073917
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts Medicare4.3 mi
Diagnostic Radiology
NPI 1407866338
2270 KIMBALL ST STE 102
Brooklyn, NY 11234
(718) 253-6616
✔ PECOS✔ Accepts Medicare12 mi
See all 65 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 1457867707. It was assigned to this organization in the NPPES registry on December 22, 2017. The provider is doing business as Mt Sinai Doctors Staten Island Medicine.

Where is Icahn School Of Medicine At Mount Sinai located?

Icahn School Of Medicine At Mount Sinai is located at 476 Klondike Ave, Staten Island, NY 10314. The listed phone number is (718) 761-1156.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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), 65 clinicians in 13 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 Diagnostic Radiology (38), Cardiovascular Disease (Cardiology) (4) and Internal Medicine (4). Of these, 2 practice at this address and 19 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 February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.