NPIMap

Organization Active NPI

Sheldon H Genack, MD, PC

  • Specialist
  • Hewlett, NY
National Provider Identifier
1629205695
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
198502 Issued in NY
Legal business name
SHELDON H GENACK, MD, PC
Practice address
1728 Broadway
Suite 5
Hewlett, NY 11557-1630
Phone
(516) 887-5788
Fax
(516) 887-5990
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Sheldon H Genack, MDNPI 1821104308
Title
President
Phone
(516) 887-5788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 198502 NY Primary

Addresses

Primary practice location

1728 Broadway
Suite 5
Hewlett, NY 11557-1630

Mailing address

1728 Broadway
Suite 5
Hewlett, NY 11557-1630
Phone (516) 887-5788

National Provider Directory

National Provider Directory

Locations

1728 Broadway
Ste 5
Hewlett, NY 11557
Phone (516) 887-5788

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1629205695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 BROADWAY",
            "address_2": "SUITE 5",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571630",
            "telephone_number": "516-887-5788",
            "fax_number": "516-887-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 BROADWAY",
            "address_2": "SUITE 5",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571630",
            "telephone_number": "516-887-5788",
            "fax_number": "516-887-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON H GENACK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "GENACK",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-887-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "198502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.