Active NPI
Mark Sharobeem
- Foot & Ankle Surgery Podiatrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 89599
- Practice address
- 30 Broad St Ste 401
New York, NY 10004-4110 - Phone
- (917) 692-6408
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 89599 | NY | Primary |
Addresses
Primary practice location
30 Broad St Ste 401
New York, NY 10004-4110
Mailing address
11 Molly Pitcher Rd
Marlboro, NJ 07746-2443
Phone (917) 692-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725000396 | NJ | Practitioner - Podiatry | 0840547691 | Reassigns benefits to 3 organizations |
| I20190819001424 | NY | Practitioner - Podiatry | 0840547691 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foot Forward Podiatry PC
Practice addresses (Care Compare)
115 Sunset Rd
Burlington, NJ 08016-4153
Phone (646) 921-0907
30 Broad St
Suite 401
New York, NY 10004-4110
Phone (917) 692-6408
612 Corporate Way
Suite 2M
Valley Cottage, NY 10989-2027
Phone (646) 921-0907
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 240 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89599 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Forward Podiatry PC | Current | Accepting new patients | |
| Back on Your Feet Podiatry LLC | Current | Accepting new patients | |
| Alpha Podiatry, LLC | Past | Accepting new patients | |
| Foot Forward Podiatry, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Alpha Podiatry | Past | Accepting new patients |
Locations
2305 Rancocas Rd
Burlington Township, NJ 08016
Phone (609) 387-9300
115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620
1213 Westfield Ave
Clark, NJ 07066
Phone (732) 396-7100
93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800
65 Jay St
Newark, NJ 07103
Phone (973) 447-8882
303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701
Organizations & group practices 7
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.
-
- Podiatric Clinic/Center
- Marlboro, NJ
- NPI 1508304098
-
- Podiatrist
- Marlboro, NJ
- NPI 1366989857
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1104152552
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1679915508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MOLLY PITCHER RD",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077462443",
"telephone_number": "917-692-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST STE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100044110",
"telephone_number": "917-692-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAROBEEM",
"first_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-19",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "89599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.