Individual provider Active NPI

Shari Mann, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1447397161
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204234 Issued in NY
Practice address
2401 White Plains Rd
Bronx, NY 10467-8108
Phone
(718) 515-8600
Fax
(718) 519-5203
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204234 NY Primary

Addresses

Primary practice location

2401 White Plains Rd
Bronx, NY 10467-8108

Mailing address

2401 White Plains Rd
Bronx, NY 10467-8108
Phone (718) 515-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091111000245 NY Practitioner - Internal Medicine 9638217771 Reassigns benefits to 2 organizations
I20231130000798 NJ Practitioner - Internal Medicine 9638217771 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204234NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Oct 17, 2023 Accepting new patients
Centerlight Healthcare, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Centerlight Certified Home Health Agency Past Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2401 White Plains Rd
#M
Bronx, NY 10467
Phone (718) 515-8600

2401 White Plains Rd
Bronx, NY 10467
Phone (718) 515-8600

1250 Waters Pl
Ste 602
Bronx, NY 10461
Phone (877) 226-8500

668 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4162

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1447397161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "718-515-8600",
            "fax_number": "718-519-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "718-515-8600",
            "fax_number": "718-519-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.