Individual provider Active NPI

Sheldon Ong Sy, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1306010772
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
262735 Issued in NY
Practice address
1812 Church Ave
Brooklyn, NY 11226-3706
Phone
(718) 693-9095
Fax
(917) 900-1413
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 262735 NY Primary

Addresses

Primary practice location

1812 Church Ave
Brooklyn, NY 11226-3706

Mailing address

1812 Church Ave
Brooklyn, NY 11226-3706
Phone (718) 693-9095

Other identifiers 1

IdentifierTypeStateIssuer
03374238MedicaidNY

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
I20111003000358 NY Practitioner - Family Practice 5991977662 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1812 Church Ave
Brooklyn, NY 11226-3706
Phone (718) 693-9095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Church Medical Offices Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Hillside Polymedic P.C. Family Medicine PastSince Aug 19, 2016 Accepting new patients

Locations

1812 Church Ave
Brooklyn, NY 11226
Phone (718) 693-9095

Networks

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

Interoperability endpoints

  • Direct secure messaging: sheldonsy@mai.allscriptsdirect.net

Organizations & group practices 3

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1306010772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-693-9095",
            "fax_number": "917-900-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263706",
            "telephone_number": "718-693-9095",
            "fax_number": "917-900-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "SHELDON",
        "middle_name": "ONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.