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North Shore Medical Group of the Mount Sinai School of Medicine

Family Medicine Physician in Hewlett, NY · enumerated 2015 · authorized official Alicia Gresham, Vp Network Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669854824

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Registry record

Entity type Organization (Type 2)
Legal business name North Shore Medical Group of the Mount Sinai School of Medicine
Other name <Unavail>
Parent organization Mount Sinai Medical Center
Practice address 1436 Broadway, Hewlett, NY, 11557
Fax (929) 210-6571
Enumeration date Jun 24, 2015
Last updated in NPPES Jun 24, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Alicia Gresham
Title Vp Network Operations

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is North Shore Medical Group of the Mount Sinai School of Medicine located?
The practice location on file with NPPES is in Hewlett, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-24.