MOUNT SINAI MARATHON MEDICAL
NPI 1508127531
Internal Medicine in Oceanside, NY

NPI Status: Active since June 06, 2012

Contact Information

1 HEALTHY WAY
OCEANSIDE, NY
ZIP 11572
Phone: (516) 632-3670
Fax: (516) 336-5309

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  • Organization
  • Internal Medicine
  • CLIA Number: 33D2111232
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About MOUNT SINAI MARATHON MEDICAL

This page provides the complete NPI Profile along with additional information for Mount Sinai Marathon Medical, an internist established in Oceanside, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1508127531 assigned on June 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Mount Sinai Marathon Medical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mount Sinai Marathon Medical. The authorized official of this NPI record is Alicia Gresham (Vp Network Operations)

NPI
1508127531
Provider Legal Name
MOUNT SINAI SCHOOL OF MEDICINE
Other Organization Name
MOUNT SINAI MARATHON MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 HEALTHY WAY OCEANSIDE, NY 11572
Location Phone
(516) 632-3670
Location Fax
(516) 336-5309
Mailing Address
1 HEALTHY WAY OCEANSIDE, NY 11572
Mailing Phone
(516) 632-3670
Mailing Fax
(516) 336-5309
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-06-2012
Last Update Date
10-24-2018
Code Navigator

An internist like Mount Sinai Marathon Medical is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 35 E 85th St SUITE S1 & S2
    New York, NY 10028
    (212) 426-7300

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RB0002XAllopathic & Osteopathic Physicians

Internal Medicine
Obesity Medicine

 

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

ALICIA GRESHAM

Authorized Official Title
VP NETWORK OPERATIONS
Authorized Official Phone
(212) 659-9038

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
33D2111232
Facility Type
Physician Office
Certificate Effective Date
April 01, 2026
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. BRUCE PETERSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mount Sinai Marathon Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508127531, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 2 + 2 + 1 + 4 + 5 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1508127531.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Pediatrics (Neonatal-Perinatal Medicine)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Obstetrics & Gynecology (Gynecology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Vascular & Interventional Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Physician Assistant (Surgical)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Physician Assistant (Surgical)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING DEPT
OCEANSIDE, NY 11572
Hospitalist
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Physician Assistant
1 HEALTHY WAY
OCEANSIDE, NY 11572
Physician Assistant
1 HEALTHY WAY
OCEANSIDE, NY 11572
Emergency Medicine
1 HEALTHY WAY
OCEANSIDE, NY 11572
Emergency Medicine
1 HEALTHY WAY
OCEANSIDE, NY 11572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508127531, enumerated as an "organization" on June 06, 2012.

The provider is located at 1 HEALTHY WAY OCEANSIDE, NY 11572 and the phone number is (516) 632-3670.

Internal Medicine with taxonomy code 207R00000X.