Individual provider Active NPI

Sheryl R Pringle, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1629080759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
198962-1 Issued in NY
Practice address
1669 Bedford Ave
Astro Care Medical Center
Brooklyn, NY 11225
Phone
(718) 467-7200
Fax
(718) 467-7064
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 198962-1 NY Primary

Addresses

Primary practice location

1669 Bedford Ave
Astro Care Medical Center
Brooklyn, NY 11225

Mailing address

161 Common Wealth Ave
Mt Vernon, NY 10552
Phone (718) 467-7200

Other identifiers 1

IdentifierTypeStateIssuer
01590078MedicaidNY

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
I20051114000140 NY Practitioner - Family Practice 2567481153 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198962-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Jun 18, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2017 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 1, 2017 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Feb 1, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Montefiore Medical Center Past Accepting new patients
Astrocare, Inc. Past Accepting new patients
Montefiore Medical Center Past Accepting new patients
Lich Faculty Practice Family Medicine Past Accepting new patients
Lichfpp Physicians Family Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

3231 E Tremont Ave
Bronx, NY 10461
Phone (718) 597-5800

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

1210 Webster Ave
Bronx, NY 10456
Phone (646) 612-7747

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

2710 Long Beach Rd
Ste 2
Oceanside, NY 11572
Phone (516) 558-7858

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629080759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 COMMON WEALTH AVE",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "718-467-7200",
            "fax_number": "718-467-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 BEDFORD AVE",
            "address_2": "ASTRO CARE MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11225",
            "telephone_number": "718-467-7200",
            "fax_number": "718-467-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "SHERYL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "198962-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.