Phoenix Medical Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

221729 Issued in NY

Legal business name

PHOENIX MEDICAL CARE PC

Practice address

67 Andrew St
Manhasset, NY 11030-2309

Phone

(516) 627-6559

NPI assigned

Jun 4, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert SharganiNPI 1588736953

Title

President

Phone

(516) 627-7559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Shargani

  • Specialist
  • Manhasset, NY
  • NPI 1588736953
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1619179314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ANDREW ST",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ANDREW ST",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302309",
            "telephone_number": "516-627-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "SHARGANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-627-7559",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Pham, NP
• Danielle Phelan, PSY.D.
• Philip Audiology & Hearing Aid Services, PLLC
• Stephen Phillips, D.D.S
• Melissa Ann Phipps, M.D
• Hoang-Yen Phung
• Physical Therapy Works, PC
• Physioelements Physical Therapy, PLLC
• Roger A Pierangelo, PH.D
• Jeffrey Scott Pierce, D.M.D.

• Specialist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.