NPIMap

Individual provider Active NPI

Mickey Pradeep Sharma, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Garnerville, NY
National Provider Identifier
1730241316
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
217358 Issued in NY
Practice address
66 Ramapo Rd
Garnerville, NY 10923-1718
Phone
(845) 947-2232
Fax
(845) 947-1339
NPI assigned
Dec 14, 2006
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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 217358 NY Primary

Addresses

Primary practice location

66 Ramapo Rd
Garnerville, NY 10923-1718

Mailing address

66 Ramapo Rd
Garnerville, NY 10923-1718
Phone (845) 947-2232

Other identifiers 1

IdentifierTypeStateIssuer
02088851MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120312000013 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1759540735 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Garnerville, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gramercy Medical Services PCGroup PAC ID 5092079632, 6 clinicians
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians

Practice addresses (Care Compare)

150 Old Saw Mill Riv Rd
Hawthorne, NY 10532-1515
Phone (914) 769-1762

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone (718) 996-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC CurrentSince Nov 26, 2024 Accepting new patients
Gramercy Medical Services P.C. CurrentSince May 5, 2024 Accepting new patients
Mickey P. Sharma, M.D. PastSince Jul 1, 2014 Accepting new patients
Nyack Operating LLC Past Accepting new patients

Locations

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730241316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 RAMAPO RD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231718",
            "telephone_number": "845-947-2232",
            "fax_number": "845-947-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 RAMAPO RD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231718",
            "telephone_number": "845-947-2232",
            "fax_number": "845-947-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MICKEY",
        "middle_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "217358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnerville, NY

Sources for this page

Verify at the official NPI Registry.