Icahn School of Medicine at Mount Sinai
NPI 1447640024 · Internal Medicine Physician · Staten Island, 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 Internal Medicine Physician organization in Staten Island, NY (NPI 1447640024).
Provider details
- NPI number
- 1447640024
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mount Sinai Hospital
- Organization subpart
- Yes
- Authorized official
- Alicia Gresham, Vp Network Operations(212) 659-9038
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- Mt Sinai Doctors Si-Victory Int Med
- Doing business as
- Mt Sinai Doctors Si-Victory Int Med
Additional practice locations (1)
- 4982 Hylan BlvdStaten Island, NY 10312-6399Phone: (718) 477-6900
Registry dates
- Enumerated
- 2015-02-03
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
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 1447640024, 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 Internal Medicine 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 2315 Victory Blvd, Staten Island, NY 10314-6623.
- 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 (718) 477-6900.
- 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 Alicia Gresham, Vp Network Operations. 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 (1447640024) is active in the NPPES registry as of the last update on 2020-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.