Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icahn School of Medicine at Mount Sinai

Organization Anesthesiology Physician · NPI 1063766038

Icahn School of Medicine at Mount Sinai is an Anesthesiology Physician in Elmhurst, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4

Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-1591
Fax: (718) 334-4815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X

Record details

NPI number1063766038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Pilar Gonzalez Jimenez — Billing Manager · (718) 334-1591
Other names Mount Sinai Elmhurst Faculty Practice Group
NPI enumeratedOctober 30, 2012
Last updated in NPPESMay 10, 2016
Mailing address7901 Broadway, Elmhurst, NY 11373-1329

Other providers in Elmhurst