OrganizationActive
Mount Sinai School of Medicine
NPI 1164070827 · Physiological Laboratory · Rockville Centre, NY
Provider details
- NPI number
- 1164070827
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Alicia Gresham, Vp Network Operations(212) 659-9038
Specialties & taxonomies
Laboratories
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
119 N Park Ave
Rockville Centre, NY 11570-4113
Phone: (516) 255-9555
Street-level locationGet directions
Mailing address
119 N Park Ave
Rockville Centre, NY 11570-4113
Other names (DBA / former)
- Other name
- Mount Sinai Marathon Medical - Idtf
Registry dates
- Enumerated
- 2019-08-27
- Last updated
- 2019-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.