Active NPI
Mirdula Sharma, MD
- Pediatrics Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 301108
- Practice address
- 2901 White Plains Rd
Bronx, NY 10467-8129 - Phone
- (718) 708-4594
- Fax
- (347) 326-7217
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 301108 | NY | Primary |
Addresses
Primary practice location
2901 White Plains Rd
Bronx, NY 10467-8129
Mailing address
2901 White Plains Rd
Bronx, NY 10467-8129
Phone (718) 708-4594
Other practice location 1
355 Bard Ave
Pediatric Admin Rm 314
Staten Island, NY 10310-1664
Phone (718) 818-4636
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Amboy Medical Practice PC | Pediatrics | Current | Accepting new patients |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Joice Samuel MD | Pediatrics | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
355 Bard Ave
Rm 314
Staten Island, NY 10310
Phone (718) 818-4636
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mirdula.sharma@1670.securemail.mdnavigatorclinical.com
- mirdulasharma@mai.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1811202526
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1346695855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104678129",
"telephone_number": "718-708-4594",
"fax_number": "347-326-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104678129",
"telephone_number": "718-708-4594",
"fax_number": "347-326-7217"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_2": "Pediatric Admin Rm 314",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103101664",
"country_code": "US",
"telephone_number": "718-818-4636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "MIRDULA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "301108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.