OrganizationActive
North Shore Medical Group of the Mount Sinai School of Medicine
NPI 1962646091 · Gastroenterology Physician · Nesconset, NY
Provider details
- NPI number
- 1962646091
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Street, Practice Administrator(631) 351-3703
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
59 Southern Blvd
Nesconset, NY 11767-1090
Phone: (631) 659-1700
Fax: (631) 659-1750
Street-level locationGet directions
Mailing address
59 Southern Blvd
Nesconset, NY 11767-1090
Registry dates
- Enumerated
- 2009-04-20
- Last updated
- 2012-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.