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

Bethany J Slater, MD, MBA

Individual provider Pediatric Surgery Physician · NPI 1669668869

Bethany J Slater, MD, MBA is a General Surgery in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2004, 22 years ago. Licensed in Illinois and New York.

Years since qualifying
22
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (650) 804-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 338344 (NY)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 036142224 (IL)

Record details

NPI number1669668869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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