Ezra Sharon MD PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

107333 Issued in NY

Legal business name

EZRA SHARON MD PC

Practice address

70-31 108TH Street
Suite 3
Forest Hills, NY 11375

Phone

(718) 793-6832

Fax

(718) 793-6838

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By 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

Ezra Sharon, M.DNPI 1194887885

Title

Physician

Phone

(718) 793-6832

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Ezra Sharon, MD

  • Rheumatology Physician
  • Forest Hills, NY
  • NPI 1194887885
  Authorized official Same address or phone
• Henry Moskowitz, MD

  • Specialist
  • Corona, NY
  • NPI 1154383792
  NPD (past)
• Kamini Shah, M.D.

  • Rheumatology Physician
  • Forest Hills, NY
  • NPI 1194955518
  NPD (past)
• Ravi Bhupatlal Sutaria, M.D.

  • Rheumatology Physician
  • Forest Hills, NY
  • NPI 1528357852
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1629344049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70-31 108TH STREET",
            "address_2": "SUITE 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-6832",
            "fax_number": "718-793-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-31 108TH STREET",
            "address_2": "SUITE 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-6832",
            "fax_number": "718-793-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA SHARON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "SHARON",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-793-6832",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "107333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ezday Adult Day Care
• Ibiyemi Donald Fabanwo, B.A
• Chiara Fabiano
• Christty Fabre
• Erika Fagioli
• Alina Fain

• Exclusive Provider Organization in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.