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 Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1619221686

Icahn School of Medicine at Mount Sinai is an Addiction Medicine (Psychiatry & Neurology) Physician in Elmhurst, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
13

Practice location Address checks out

7901 Broadway Rm A1-19
Elmhurst, NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Neurology Physician Taxonomy 2084N0400X
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X
Vascular Neurology Physician Taxonomy 2084V0102X
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X
Neuroradiology Physician Taxonomy 2085N0700X
Nuclear Radiology Physician Taxonomy 2085N0904X
Pediatric Radiology Physician Taxonomy 2085P0229X
Radiation Oncology Physician Taxonomy 2085R0001X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X

Record details

NPI number1619221686
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, Rm. A1-19, Elmhurst, NY 11373-1329