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

North Shore Medical Group of Mount Sinai School of Medicine

Organization Internal Medicine Physician · NPI 1811224868

North Shore Medical Group of Mount Sinai School of Medicine is an Internal Medicine Physician in Hauppauge, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

521 Route 111 Ste 202
Hauppauge, NY 11788-4370
Phone: (631) 361-4625
Fax: (631) 361-2021
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 157830 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 159827 (NY)

Record details

NPI number1811224868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Street — Administrator · (631) 351-3703
Other names North Shore Medical Group
NPI enumeratedNovember 12, 2009
Last updated in NPPESNovember 12, 2009
Mailing address521 Route 111, Suite 202, Hauppauge, NY 11788-4370

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