MT SINAI DOCTORS STATEN ISLAND MEDICINE
NPI 1861900888
Internal Medicine in Staten Island, NY

Active since January 11, 2018
283 BARD AVE, STATEN ISLAND, NY 10310(718) 816-8068(718) 448-6299 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mt Sinai Doctors Staten Island Medicine NPPES

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

MT SINAI DOCTORS STATEN ISLAND MEDICINE (NPI 1861900888) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since January 2018. The organization lists Alicia Gresham, Vp Of Network Operations, as its authorized official.

NPPES Registry Identity

NPI1861900888
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Location Address283 BARD AVEStaten Island, NY 10310-1664
Mailing Address283 Bard AveStaten Island, NY 10310-1664 · (718) 816-8068 · Fax (718) 448-6299
Fax(718) 448-6299
Organization SubpartYesParent: Mount Sinai Hospital
Authorized OfficialAlicia GreshamVp Of Network Operations · (212) 659-9038
Enumeration DateJanuary 11, 2018
✔ NPI 1861900888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
283 BARD AVE, Staten Island, NY 10310

Other Names 1

Doing Business AsMt Sinai Doctors Staten Island Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Mt Sinai Doctors Staten Island Medicine 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 Mt Sinai Doctors Staten Island Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 22 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
Pulmonary Disease
NPI 1821073917
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1932696762
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740853548
283 BARD AVE
Staten Island, NY 10310
(718) 816-8068
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1639557382
300 BARD AVE
Staten Island, NY 10310
(718) 818-1234
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1063588127
129 SLOSSON AVE
Staten Island, NY 10314
(718) 720-5928
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiovascular Disease (Cardiology)
NPI 1558416776
1366 VICTORY BLVD STE B
Staten Island, NY 10301
(718) 442-8351
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1831631795
878 VAN DUZER ST
Staten Island, NY 10304
(646) 339-2321
✔ PECOS✔ Accepts Medicare1.7 mi
Cardiovascular Disease (Cardiology)
NPI 1477545796
47 LITTLE CLOVE RD MOUNT SINAI HEART
Staten Island, NY 10301
(718) 273-9080
✔ PECOS✔ Accepts Medicare1.8 mi
Endocrinology
NPI 1598320947
754 MANOR RD
Staten Island, NY 10314
(718) 981-2684
✔ PECOS✔ Accepts Medicare2.1 mi
Endocrinology
NPI 1477664134
774 MANOR RD SUITE 208
Staten Island, NY 10314
(718) 273-5522
✔ PECOS✔ Accepts Medicare2.1 mi
Cardiovascular Disease (Cardiology)
NPI 1811942501
11 RALPH PL SUITE 109
Staten Island, NY 10304
(718) 981-3674
✔ PECOS✔ Accepts Medicare2.4 mi
Cardiovascular Disease (Cardiology)
NPI 1841237526
11 RALPH PLACE SUITE 109
Staten Island, NY 10304
(718) 981-2684
✔ PECOS✔ Accepts Medicare2.4 mi
Podiatry
NPI 1588638142
2315 VICTORY BLVD
Staten Island, NY 10314
(718) 477-6900
✔ PECOS✔ Accepts Medicare2.5 mi
Hematology/Oncology
NPI 1699791459
1910 RICHMOND RD
Staten Island, NY 10306
(718) 987-9777
✔ PECOS✔ Accepts Medicare3.7 mi
Internal Medicine
NPI 1861461345
476 KLONDIKE AVE
Staten Island, NY 10314
(718) 761-1156
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1043272719
476 KLONDIKE AVE
Staten Island, NY 10314
(718) 761-1156
✔ PECOS✔ Accepts Medicare4.3 mi
Diagnostic Radiology
NPI 1225085129
1441 SOUTH AVE
Staten Island, NY 10314
(332) 243-6900
✔ PECOS✔ Accepts Medicare4.5 mi
Gastroenterology
NPI 1588721658
4434 AMBOY RD
Staten Island, NY 10312
(718) 351-8700
✔ PECOS✔ Accepts Medicare7.0 mi
Internal Medicine
NPI 1073574240
4771 HYLAN BLVD
Staten Island, NY 10312
(718) 948-8200
✔ PECOS✔ Accepts Medicare8.1 mi
Diagnostic Radiology
NPI 1427176494
227 MADISON ST
New York, NY 10002
(212) 238-7680
✔ PECOS✔ Accepts Medicare8.1 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 1861900888. It was assigned to this organization in the NPPES registry on January 11, 2018. 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 283 Bard Ave, Staten Island, NY 10310. The listed phone number is (718) 816-8068.

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), 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, 4 practice at this address and 22 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 January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.