Individual provider Active NPI

John J. Sharkey, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
National Provider Identifier
1053395640
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35.078735 Issued in OH
Practice address
500 E 14TH St
New York, NY 10009-3336
Phone
(212) 481-3333
Fax
(212) 253-4242
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 211796-1 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35.078735 OH Primary

Addresses

Primary practice location

500 E 14TH St
New York, NY 10009-3336

Mailing address

500 E 14TH St
New York, NY 10009-3336
Phone (212) 481-3333

Other practice location 1

543 Taylor Ave
Columbus, OH 43203-1278
Phone (614) 293-2663

Other identifiers 1

IdentifierTypeStateIssuer
2204439MedicaidOH

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
I20050706001046 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163468661 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
14 Street Medical PCGroup PAC ID 6204122088, 16 clinicians

Practice addresses (Care Compare)

332 E 14TH St
New York, NY 10003-4243
Phone (212) 481-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211796-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Bronx Medical Associates PC CurrentSince Sep 30, 2017 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Mar 15, 2020 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Feb 14, 2017 Accepting new patients
14 Street Medical, PC CurrentSince Sep 1, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. Orthopaedic Surgery CurrentSince Mar 15, 2020 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Oct 9, 2018 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

450 Clarkson Ave
Rm All
Brooklyn, NY 11203
Phone (718) 270-8995

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

500 E 14th St
New York, NY 10009
Phone (212) 481-3333

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

912 Columbus Ave
New York, NY 10025
Phone (212) 481-3333

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Networks

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

Interoperability endpoints

  • Direct secure messaging: john.sharkey.1@13555.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jsharkey556473@nychhc.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1053395640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093336",
            "telephone_number": "212-481-3333",
            "fax_number": "212-253-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093336",
            "telephone_number": "212-481-3333",
            "fax_number": "212-253-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Taylor Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031278",
            "country_code": "US",
            "telephone_number": "614-293-2663",
            "fax_number": "614-293-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "211796-1",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.078735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.