NPIMap

Individual provider Active NPI

Josif Sholomon, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1548261811
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189657 Issued in NY
Practice address
1379 54TH St
Suite 1
Brooklyn, NY 11219-4259
Phone
(718) 436-1600
Fax
(718) 436-2085
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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 189657 NY Primary

Addresses

Primary practice location

1379 54TH St
Suite 1
Brooklyn, NY 11219-4259

Mailing address

1379 54TH St
Suite 1
Brooklyn, NY 11219-4259
Phone (718) 436-1600

Other identifiers 3

IdentifierTypeStateIssuer
01350701MedicaidNY
100097675301OtherNYAMERICHOICE BY UNITEDHEALTHCARE
P2083466OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518001299 NY Practitioner - Internal Medicine 3577460914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boro Park Medical PCGroup PAC ID 5395642714, 5 clinicians

Practice addresses (Care Compare)

1379 54TH St
FL 1
Brooklyn, NY 11219-4259
Phone (718) 436-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189657NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Medical P.C. Internal Medicine CurrentSince Feb 18, 2000 Accepting new patients
Kings Medical PC CurrentSince Mar 16, 2007 Accepting new patients
First Class Physical Therapy, P.C. Past Accepting new patients
Ida Medical Plaza PC PastSince Nov 21, 2005 Accepting new patients

Locations

1379 54th St
Ste 1
Brooklyn, NY 11219
Phone (718) 436-1600

Networks

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

Interoperability endpoints

  • Direct secure messaging: jos9325@direct.nyp.org

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.

Hospital & facility affiliations 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1548261811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 54TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194259",
            "telephone_number": "718-436-1600",
            "fax_number": "718-436-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 54TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194259",
            "telephone_number": "718-436-1600",
            "fax_number": "718-436-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLOMON",
        "first_name": "JOSIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01350701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE BY UNITEDHEALTHCARE",
            "identifier": "100097675301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2083466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.