Organization Active NPI

Sharad Regay MD

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1619003563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
110389 Issued in NY
Legal business name
SHARAD REGAY MD
Practice address
1324 Bergen St
Brooklyn, NY 11213-1530
Phone
(718) 774-5224
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharad Regay
Title
Sole Proprietor
Phone
(718) 774-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 110389 NY Primary

Addresses

Primary practice location

1324 Bergen St
Brooklyn, NY 11213-1530

Mailing address

1324 Bergen St
Brooklyn, NY 11213-1530
Phone (718) 774-5224

Other identifiers 1

IdentifierTypeStateIssuer
00197219MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619003563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131530",
            "telephone_number": "718-774-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131530",
            "telephone_number": "718-774-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD REGAY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REGAY",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-774-5224"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "110389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00197219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.