OrganizationActive
Icahn School of Medicine at Mount Sinai
NPI 1912499401 · Hematology & Oncology Physician · Merrick, NY
Provider details
- NPI number
- 1912499401
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Gresham, Vp of Network Operations(212) 659-9038
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical-Surgical Registered Nurse163WM0705X
Nursing Service Providers
- Oncology Registered Nurse163WX0200X
Nursing Service Providers
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2209 Merrick Rd Ste 101
Merrick, NY 11566
Phone: (516) 546-5000
Street-level locationGet directions
Mailing address
1 Healthy Way
Oceanside, NY 11572-1551
Other names (DBA / former)
- Other name
- Mount Sinai Doctors South Nassau - Hematology / Oncology
Additional practice locations (1)
- 1 Healthy WayOceanside, NY 11572-1551Phone: (516) 546-5000
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2018-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.