Individual provider Active NPI

Mark Sharobeem

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1679915508
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
89599 Issued in NY
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

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 29 clinicians

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

ProcedureNumber of procedures
Removal of nail tissue240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89599NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry PC CurrentSince Mar 1, 2025 Accepting new patients
Back on Your Feet Podiatry LLC CurrentSince Mar 20, 2025 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.

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

Verify at the official NPI Registry.