Individual provider Active NPI

Sharone Sheffer-Babila, MD

  • Pediatric Endocrinology Physician
  • Staten Island, NY
National Provider Identifier
1073527347
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
240178 Issued in NY
Practice address
584 Forest Ave
Staten Island, NY 10310-2512
Phone
(718) 226-5619
Fax
(718) 226-5620
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 240178-1 NY
Pediatric Endocrinology Physician 2080P0205X 240178 NY Primary

Addresses

Primary practice location

584 Forest Ave
Staten Island, NY 10310-2512

Mailing address

1 Edgewater St
Staten Island, NY 10305-4907
Phone (718) 226-1047

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
I20061014000034 NY Practitioner - Pediatric MedicinePractitioner - Endocrinology 8820094808 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240178-1NYMDPediatrics Physician
240178NYMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC Pediatric Endocrinology CurrentSince Feb 1, 2012 Accepting new patients
Physicians of University Hospital, PC CurrentSince Feb 1, 2012 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

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

300 Community Dr
Manhasset, NY 11030

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

584 Forest Ave
Staten Island, NY 10310
Phone (718) 226-5619

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

900 South Ave
Ste 103
Staten Island, NY 10314
Phone (718) 226-2950

1 Edgewater St
Staten Island, NY 10305
Phone (718) 226-1008

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: sshefferbabila65404@northwell.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1073527347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054907",
            "telephone_number": "718-226-1047",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102512",
            "telephone_number": "718-226-5619",
            "fax_number": "718-226-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFER-BABILA",
        "first_name": "SHARONE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "240178-1",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "240178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.