Individual provider Active NPI

Rakesh Sharma, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1518125632
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
227682 Issued in NY
Practice address
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone
(718) 734-2700
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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 227682 NY Primary

Addresses

Primary practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Mailing address

106 Cumberland PL
Lawrence, NY 11559-1334
Phone (516) 239-7429

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
I20040809001453 NY Practitioner - Emergency Medicine 2466424528 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. CurrentSince Jul 1, 2012 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince May 2, 2012 Accepting new patients
Island Medical Empire State, PLLC Internal Medicine Past Accepting new patients
Peninsula Medical Services PC Internal Medicine Past Accepting new patients
St Johns Emergency Medical Services PC Past Accepting new patients
South Beach Medical PC Internal Medicine Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

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, 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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1518125632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CUMBERLAND PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591334",
            "telephone_number": "516-239-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.