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

Nicholas Gavin, MD

Individual provider Emergency Medicine Physician · NPI 1962702274

Nicholas Gavin, MD is an Emergency Medicine in New York, New York. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1411 E 31st St, Oakland, CA 94602-1018 — (510) 437-4564

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 269056 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A114742 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962702274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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