Individual provider Active NPI

Jacob S Sharaby, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1386619443
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
195122 Issued in NY
Practice address
770 Ocean Pkwy
Suite 1a
Brooklyn, NY 11230-2184
Phone
(718) 941-2002
Fax
(718) 287-7719
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 195122 NY Primary
Urology Physician 208800000X 195122 NY

Addresses

Primary practice location

770 Ocean Pkwy
Suite 1a
Brooklyn, NY 11230-2184

Mailing address

2289 E 2ND St
Brooklyn, NY 11223-5146
Phone (718) 382-1494

Other identifiers 1

IdentifierTypeStateIssuer
02006917MedicaidNY

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
I20060207000981 NY Practitioner - UrologyPractitioner - General SurgeryPractitioner - Geriatric Medicine 8123033412 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery, Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 clinicians

Practice addresses (Care Compare)

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102

770 Ocean Pkwy
Suite 1a
Brooklyn, NY 11230-2159
Phone (718) 941-2002

Hospital & facility affiliations

  • New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
23.16 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Removal or shaving of skin growth1-10

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
Ahava Medical and Rehabilitation Center, LLC CurrentSince Apr 1, 2025 Accepting new patients
North Shore Hematology Oncology Associates PC Specialist CurrentSince Feb 1, 2024 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

770 Ocean Pkwy
Ste 1A
Brooklyn, NY 11230
Phone (718) 851-0001

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

315 E Shore Rd
Manhasset, NY 11030
Phone (516) 773-6611

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEJDD/Endpoint/FJEJDD
  • Direct secure messaging: jacobsharaby@mai.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1386619443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235146",
            "telephone_number": "718-382-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OCEAN PKWY",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302184",
            "telephone_number": "718-941-2002",
            "fax_number": "718-287-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARABY",
        "first_name": "JACOB",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "195122",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "195122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02006917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.