Active NPI
Esmat Saad Sharobeem, MD
- Emergency Medicine Physician
- Staten Island, NY
National Provider Identifier
1750315479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 163768
- Practice address
- 1050 Clove Road
Staten Island, NY 10301-3627 - Phone
- (718) 816-6440
- Fax
- (718) 816-3611
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 163768 | NY | Primary |
Addresses
Primary practice location
1050 Clove Road
Staten Island, NY 10301-3627
Mailing address
441 9TH Ave
Credentialing 3Rd FL
New York, NY 10001-1623
Phone (646) 680-2894
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0799602 | Medicaid | NJ | |
| 000000059379 | Other | GHI HMO | |
| 57D591 | Other | EMPIRE BC/BS | |
| P00077613 | Other | RAILROAD MEDICARE | |
| 4265781 | Other | AETNA PPO | |
| P2408715 | Other | OXFORD | |
| 163768 | Other | HIP/VYTRA | |
| 00968896 | Medicaid | NY | |
| 163768-B11 | Other | HEALTHFIRST | |
| 2594304 | Other | GHI PPO | |
| 2420443 | Other | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000647 | NJ | Practitioner - Emergency Medicine | 7012976327 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163768 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Past | Accepting new patients |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
| Immediate Care Medical Walk-in of Bensonhurst, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1265852800
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medicine Physician
- Edison, NJ
- NPI 1811921760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1750315479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 9TH AVE",
"address_2": "CREDENTIALING 3RD FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011623",
"telephone_number": "646-680-2894",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CLOVE ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013627",
"telephone_number": "718-816-6440",
"fax_number": "718-816-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAROBEEM",
"first_name": "ESMAT",
"middle_name": "SAAD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "163768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0799602",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000059379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "57D591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00077613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4265781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2408715",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP/VYTRA",
"identifier": "163768",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968896",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "163768-B11",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2594304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2420443",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.