NPIMap

Individual provider Active NPI

Josef Shargorodsky, MD

  • Otolaryngology Physician
  • Boston, MA
National Provider Identifier
1659573384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
BB5078654JS948SU Issued in MA
Practice address
330 Brookline Ave
Boston, MA 02215-5400
Phone
(617) 667-7000
NPI assigned
Jun 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Otolaryngology Physician 207Y00000X BB5078654JS948SU MA Primary

Addresses

Primary practice location

330 Brookline Ave
Boston, MA 02215-5400

Mailing address

42 8TH St Apt 5114
Boston, MA 02129-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815001798 NJ Practitioner - Otolaryngology 5597925503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Ear Nose and Throat LLCGroup PAC ID 2264536697, 19 clinicians

Practice addresses (Care Compare)

3700 State Route 33
Neptune, NJ 07753-3268
Phone (732) 280-7855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
85.63
Promoting interoperability
89
Improvement activities
40
Cost
77.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BB5078654JS948SUMAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear Nose and Throat, LLC Otolaryngology CurrentSince Aug 1, 2014 Accepting new patients

Locations

100 Commons Way
Ste 210
Holmdel, NJ 07733

1301 Route 72 W
Ste 340
Manahawkin, NJ 08050
Phone (609) 597-0547

3700 State Route 33
Neptune, NJ 07753
Phone (732) 212-6590

3700 State Route 33
Ste 101
Neptune, NJ 07753
Phone (732) 280-5055

Interoperability endpoints

  • Direct secure messaging: jshargorodsky@coastal.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659573384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 8TH ST APT 5114",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021294224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARGORODSKY",
        "first_name": "JOSEF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "BB5078654JS948SU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.