Organization Active NPI

Yakov Sharov Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114255213
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255032-1 Issued in NY
Legal business name
YAKOV SHAROV MEDICAL PC
Practice address
209 Avenue P
Brooklyn, NY 11204-4903
Phone
(718) 259-6666
Fax
(718) 259-7000
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. Yakov Sharov, MD
Title
President
Phone
(718) 259-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 255032-1 NY Primary

Addresses

Primary practice location

209 Avenue P
Brooklyn, NY 11204-4903

Mailing address

209 Avenue P
Brooklyn, NY 11204-4903
Phone (718) 259-6666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1114255213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044903",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044903",
            "telephone_number": "718-259-6666",
            "fax_number": "718-259-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKOV SHAROV MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "SHAROV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-259-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.