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

North Shore Medical Group of the Mount Sinai School of Medicine

Organization MOHS-Micrographic Surgery Physician · NPI 1164623278

North Shore Medical Group of the Mount Sinai School of Medicine is an MOHS-Micrographic Surgery Physician in Huntington, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

775 Park Ave
Huntington, NY 11743-3976
Phone: (631) 659-4400
Fax: (631) 659-4578
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1164623278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Street — Practice Administrator · (631) 351-3703
Other names North Shore Medical Group
NPI enumeratedMay 29, 2007
Last updated in NPPESOctober 6, 2015
Mailing address775 Park Ave, Huntington, NY 11743-3976