Active NPI
Northwell Health
- Gastroenterology Physician
- Mineola, NY
National Provider Identifier
1538104377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NORTHWELL HEALTH
- Practice address
- 300 Old Country Rd Ste 31
Mineola, NY 11501-4112 - Phone
- (516) 742-5252
- Fax
- (516) 742-7623
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sushil K. Sharma, MD
- Title
- President
- Phone
- (516) 742-5252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
300 Old Country Rd Ste 31
Mineola, NY 11501-4112
Mailing address
300 Old Country Rd Ste 31
Mineola, NY 11501-4112
Phone (516) 742-5252
National Provider Directory
National Provider DirectoryLocations
901 Stewart Ave
Ste 2
Garden City, NY 11530
Phone (516) 742-5252
901 Stewart Ave
Ste 235
Garden City, NY 11530
Phone (516) 742-5252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1538104377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD STE 31",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014112",
"telephone_number": "516-742-5252",
"fax_number": "516-742-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD STE 31",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014112",
"telephone_number": "516-742-5252",
"fax_number": "516-742-7623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWELL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "SUSHIL",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-742-5252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.