Organization Active NPI

Health Shared Physicians, PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1013576552
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEALTH SHARED PHYSICIANS, PLLC
Practice address
76 Belmont Ave
Brooklyn, NY 11212-6719
Phone
(718) 395-6444
Fax
(718) 676-9557
NPI assigned
Jun 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Ijaz Ahmad, MDNPI 1902895238
Title
Owner/Ceo
Phone
(718) 789-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

76 Belmont Ave
Brooklyn, NY 11212-6719

Mailing address

PO Box 260108
Bellerose, NY 11426-0108
Phone (718) 395-6444

Other practice location 1

47 Plaza St W Ste 1B
Brooklyn, NY 11217-3905
Phone (718) 789-4332

Other practice location 2

979 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 857-1200

Other identifiers 1

IdentifierTypeStateIssuer
OTHEROther1659764553

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.firstresponseurgentcare.com/contactus
Other URL None

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200812003428 NY Part B Supplier - Clinic/Group Practice 1850717521 Receives reassigned benefits from 15 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2211211Health Shared Physicians PLLC979 Fulton Street, Brooklyn, NY 11238Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

73 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6401

79 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6401

76 Belmont Ave
Ste 2
Brooklyn, NY 11212

78 Belmont Ave
Ste 2
Brooklyn, NY 11212

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1013576552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260108",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114260108",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126719",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Plaza St W Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173905",
            "country_code": "US",
            "telephone_number": "718-789-4332",
            "fax_number": "718-857-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382346",
            "country_code": "US",
            "telephone_number": "718-857-1200",
            "fax_number": "718-857-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH SHARED PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "718-789-4333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1659764553",
            "identifier": "OTHER",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.firstresponseurgentcare.com/contactus",
            "affiliation": "N",
            "address_1": "76 Belmont Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112126719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "76 Belmont Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112126719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.