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 Family Medicine Physician · NPI 1669854824

North Shore Medical Group of the Mount Sinai School of Medicine is a Family Medicine Physician in Hewlett, New York. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3

Practice location Address checks out

1436 Broadway
Hewlett, NY 11557-1405
Phone: (929) 210-6570
Fax: (929) 210-6571
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X

Record details

NPI number1669854824
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Medical Center
Authorized official Alicia Gresham — Vp Network Operations · (212) 659-9038
Other names North Shore Medical Group
NPI enumeratedJune 24, 2015
Last updated in NPPESJune 24, 2015
Mailing address1436 Broadway, Hewlett, NY 11557-1405

Other providers in Hewlett