Individual provider Active NPI

Cordelia V Sharma, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Hawthorne, NY
National Provider Identifier
1003016353
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
220174 Issued in NY
Practice address
19 Bradhurst Ave
Suite 3040N
Hawthorne, NY 10532-2140
Phone
(914) 493-6820
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 220174 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 220174 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave
Suite 3040N
Hawthorne, NY 10532-2140

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555

Other identifiers 1

IdentifierTypeStateIssuer
02155902MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000649 NY Practitioner - Internal Medicine 5395777981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

Hospital & facility affiliations

  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220174NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC Surgery CurrentSince Nov 1, 2011 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
SBH Physicians, PC CurrentSince Mar 13, 2020 Accepting new patients
Nassau Health Care Corporation CurrentSince Mar 31, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2011 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Good Samaritan Hospital Medical Critical Care Medicine CurrentSince Jun 13, 2018 Accepting new patients
SBH Physicians, PC Surgery CurrentSince Mar 13, 2020 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Mar 10, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Mar 31, 2020 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Montefiore Medical Center Critical Care Medicine Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

111 E 210th St
Bronx, NY 10467

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

19 Bradhurst Ave
Ste 3040N
Hawthorne, NY 10532
Phone (914) 493-2363

27005 76th Ave
North New Hyde Pk, NY 11040

515 Main St
Olean, NY 14760
Phone (716) 373-2600

300 Community Dr
Plandome, NY 11030

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: csharma18854@sbhny.direct-ci.net
  • Direct secure messaging: csharma1154634@nychhc.direct-ci.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1003016353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-5555",
            "fax_number": "516-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 3040N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "CORDELIA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "220174",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "220174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02155902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.