Individual provider Active NPI

Samuel L. Sharmat, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1497876106
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
233657 Issued in NY
Practice address
315 5TH Ave RM 701
New York, NY 10016
Phone
(212) 804-7665
NPI assigned
Apr 2, 2007
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 233657 NY Primary

Addresses

Primary practice location

315 5TH Ave RM 701
New York, NY 10016

Mailing address

315 5TH Ave RM 701
New York, NY 10016-6590
Phone (212) 804-7665

Other practice location 1

24 E 12th St
Suite 303
New York, NY 10003-4403
Phone (917) 292-3292

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
I20231019000617 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 0244387736

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel L. Sharmat M.D, P.C. Psychiatry CurrentSince Jun 15, 2021 Accepting new patients
North General Physician Services PLLC Psychiatry PastSince Jul 1, 2006 Accepting new patients

Locations

315 5th Ave
Rm 701
New York, NY 10016
Phone (212) 804-7665

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1497876106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166590",
            "telephone_number": "212-804-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-804-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 E 12th St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034403",
            "country_code": "US",
            "telephone_number": "917-292-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMAT",
        "first_name": "SAMUEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "233657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.