Active NPI
Shari Hirsch, MD
- Pediatrics Physician
- New Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 315835
- Practice address
- 728 N Main St
New Square, NY 10977-8916 - Phone
- (845) 354-9300
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 315835 | NY | Primary |
Addresses
Primary practice location
728 N Main St
New Square, NY 10977-8916
Mailing address
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
Other practice location 1
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20220727002718 | NY | Practitioner - Pediatric Medicine | 8820326366 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- New York Medical College, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medcare, LLC
Practice addresses (Care Compare)
468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone (718) 399-6234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315835 | NY | MD | Licensed Practical Nurse |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Medcare, LLC | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients | |
| Lafayette Medical Office, PC | Past | Accepting new patients |
Locations
468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234
75 Route 59
Monsey, NY 10952
Phone (845) 356-2273
728 N Main St
Ste C
New Square, NY 10977
Phone 84535493001826
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- shari.hirsch.p1@direct.ezramedical.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
NY
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1952678245
-
- Podiatrist
- Brooklyn, NY
- NPI 1912004995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1780144071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300"
}
],
"practiceLocations": [
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIRSCH",
"first_name": "SHARI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "315835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.