Individual provider Active NPI

Sharique Nazir, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1457650665
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
010249037 Issued in VA
Practice address
8714 5TH Ave
Brooklyn, NY 11209-5204
Phone
(732) 586-5547
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 010249037 VA Primary

Addresses

Primary practice location

8714 5TH Ave
Brooklyn, NY 11209-5204

Mailing address

8714 5TH Ave
Brooklyn, NY 11209-5204

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snazir113786@nyumc.direct-ci.com

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
I20120220000707 NY Practitioner - General Surgery 7517125735 Reassigns benefits to 6 organizations
Practice locations: Bronx, NY
I20221130003391 NJ Practitioner - General Surgery 7517125735 Reassigns benefits to 2 organizations
Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • Harlem Hospital Center Hospital, New York, NY, CCN 330240
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010249037VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC CurrentSince Oct 21, 2017 Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
New York University Surgery CurrentSince Sep 1, 2015 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Jan 15, 2020 Accepting new patients
St Marys General Medical Group PC Surgery CurrentSince Sep 17, 2024 Accepting new patients
Amboy Medical Practice PC Surgery CurrentSince Jan 15, 2020 Accepting new patients
SBH Physicians, PC Surgery CurrentSince Oct 21, 2017 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
Central Avenue Professional Services, PC Surgery CurrentSince Jan 1, 2023 Accepting new patients
St. Barnabas Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Premier Bariatric New Jersey PC Past Accepting new patients

Locations

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

350 Boulevard
Ste 100
Passaic, NJ 07055

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

65 Cromwell Ave
Staten Island, NY 10304
Phone (718) 667-8100

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Networks

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

Interoperability endpoints

  • Direct secure messaging: snazir19918@sbhny.direct-ci.net
  • Direct secure messaging: snazir113786@nyumc.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1457650665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095204",
            "telephone_number": "732-586-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIR",
        "first_name": "SHARIQUE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "010249037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snazir113786@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "8714 5th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112095204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.