Icahn School of Medicine at Mount Sinai
NPI 1104162700 · Anatomic Pathology & Clinical Pathology Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Icahn School of Medicine at Mount Sinai is a Anatomic Pathology & Clinical Pathology Physician organization in New York, NY (NPI 1104162700).
Provider details
- NPI number
- 1104162700
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Peterson, Authorized Official(646) 605-8145
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mount Sinai Hospital Based Providers
Additional practice locations (1)
- 5 E 98th St Fl 6Box 1240bNew York, NY 10029-6501Phone: (212) 241-5643Fax: (212) 369-6389
Registry dates
- Enumerated
- 2012-12-31
- Last updated
- 2022-12-09
- Certified
- 2022-12-09
Frequently asked questions
- What is Icahn School of Medicine at Mount Sinai's NPI number?
- Icahn School of Medicine at Mount Sinai's National Provider Identifier (NPI) is 1104162700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icahn School of Medicine at Mount Sinai?
- Icahn School of Medicine at Mount Sinai is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Icahn School of Medicine at Mount Sinai located?
- Icahn School of Medicine at Mount Sinai's practice location on file with NPPES is 1 Gustave L Levy Pl, New York, NY 10029-6504.
- What is Icahn School of Medicine at Mount Sinai's phone number?
- The practice phone number listed in the NPPES registry for Icahn School of Medicine at Mount Sinai is (212) 241-6500.
- Does Icahn School of Medicine at Mount Sinai accept Medicare?
- Icahn School of Medicine at Mount Sinai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Icahn School of Medicine at Mount Sinai?
- The authorized official listed on Icahn School of Medicine at Mount Sinai's NPPES record is Edward Peterson, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icahn School of Medicine at Mount Sinai's NPI active?
- Yes — Icahn School of Medicine at Mount Sinai's NPI (1104162700) is active in the NPPES registry as of the last update on 2022-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.