MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY
NPI 1912499401
Internal Medicine - Hematology & Oncology in Merrick, NY

NPI Status: Active since May 31, 2018

Contact Information

2209 MERRICK RD STE 101
MERRICK, NY
ZIP 11566
Phone: (516) 546-5000

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  • Organization
  • Internal Medicine
  • Hematology & Oncology
  • CLIA Number: 33D2193148
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY

This page provides the complete NPI Profile along with additional information for Mount Sinai Doctors South Nassau - Hematology / Oncology, an internist established in Merrick, New York operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1912499401 assigned on May 2018. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Mount Sinai Doctors South Nassau - Hematology / Oncology. The authorized official of this NPI record is Alicia Gresham (Vp Of Network Operations)

NPI
1912499401
Provider Legal Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Other Organization Name
MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2209 MERRICK RD STE 101 MERRICK, NY 11566
Location Phone
(516) 546-5000
Mailing Address
1 HEALTHY WAY OCEANSIDE, NY 11572
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2018
Last Update Date
06-08-2018
Code Navigator

An internist like Mount Sinai Doctors South Nassau - Hematology / Oncology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1 Healthy Way
    Oceanside, NY 11572
    (516) 546-5000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WM0705XNursing Service Providers

Registered Nurse
Medical-Surgical

 
2163WX0200XNursing Service Providers

Registered Nurse
Oncology

 
32085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA GRESHAM

Authorized Official Title
VP OF NETWORK OPERATIONS
Authorized Official Phone
(212) 659-9038

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2193148
Facility Type
Physician Office
Certificate Effective Date
September 17, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. STANLEY M. RING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mount Sinai Doctors South Nassau - Hematology / Oncology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MOUNT SINAI DOCTORS SOUTH NASSAU - HEMATOLOGY / ONCOLOGY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912499401
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922891840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 8 + 9 + 1 + 8 + 4 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1912499401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720555089MOUNT SINAI SCHOOL OF MEDICINE
Organization
Internal Medicine (Hematology & Oncology)2209 MERRICK RD STE 101
MERRICK, NY 11566
(516) 546-5000
1306392675 LING CUI
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)2209 MERRICK RD STE 101
MERRICK, NY 11566
(516) 546-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912499401, enumerated in the NPI registry as an "organization" on May 31, 2018

The provider is located at 2209 Merrick Rd Ste 101 Merrick, Ny 11566 and the phone number is (516) 546-5000

This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology

The provider's CLIA number is 33D2193148 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 31, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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