NPIMap

Individual provider Active NPI

Sheryl Ann Pearl, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1336164235
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206758 Issued in NY
Practice address
45 Main St
Suite 408
Brooklyn, NY 11201-1000
Phone
(866) 662-4560
Fax
(877) 279-9425
NPI assigned
Jul 12, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 206758 NY Primary

Addresses

Primary practice location

45 Main St
Suite 408
Brooklyn, NY 11201-1000

Mailing address

45 Main St
Suite 408
Brooklyn, NY 11201-1000
Phone (866) 662-4560

Other identifiers 1

IdentifierTypeStateIssuer
02157404MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000456 NY Practitioner - Family Practice 3173507522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryl a Pearl MD PC Family Medicine CurrentSince Sep 28, 2004 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jun 1, 2023 Accepting new patients
Regional Physician Services, PC PastSince Mar 10, 2009 Accepting new patients
Beach Terrace Care Center Inc Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

951 Broadway
Woodmere, NY 11598
Phone (516) 569-0373

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1336164235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MAIN ST",
            "address_2": "SUITE 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011000",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST",
            "address_2": "SUITE 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011000",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02157404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.