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 Oral and Maxillofacial Surgery (Dentist) · NPI 1437403409

Icahn School of Medicine at Mount Sinai is an Oral and Maxillofacial Surgery (Dentist) in Elmhurst, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

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

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1437403409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Pilar Gonzalez Jimenez — Director, Faculty Practice Group · (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

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