Individual provider Active NPI

Sherman Chan, MD

  • Urology Physician
  • Manhasset, NY
National Provider Identifier
1811184047
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
242915 Issued in NY
Practice address
315 E Shore Rd
Manhasset, NY 11030-2923
Phone
(516) 487-5577
Fax
(516) 487-2947
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 242915 NY Primary

Addresses

Primary practice location

315 E Shore Rd
Manhasset, NY 11030-2923

Mailing address

315 E Shore Rd
Manhasset, NY 11030-2923
Phone (516) 487-5577

Other practice location 1

57-10 Junction Boulevard
Suite H1
Elmhurst, NY 11373
Phone (718) 505-1239

Other practice location 2

139 Centre St Ste 620
New York, NY 10013-4556
Phone (212) 288-8084

Other practice location 3

2508 Ocean Ave
Brooklyn, NY 11229-3916
Phone (718) 258-1800

Other identifiers 1

IdentifierTypeStateIssuer
03352141MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000257 NY Practitioner - Urology 9436337029 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Sep 27, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 1, 2024 Accepting new patients
Brooklyn Radiation Oncology PC Urology CurrentSince Apr 1, 2021 Accepting new patients
Interfaith Professional Physician Services, P.C. Urology CurrentSince Apr 13, 2025 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Sep 27, 2023 Accepting new patients
Sherman Chan, MD PC Current Accepting new patients
TJH Medical Services, P.C. Urology Past Accepting new patients
Northern Boulevard Radiation Oncology LLP Past Accepting new patients

Locations

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800

2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200

2632 E 14th St
Fl Third
Brooklyn, NY 11235

9711 3rd Ave
Brooklyn, NY 11209
Phone (718) 833-1808

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2632 E 14th St
Brooklyn, NY 11235
Phone (347) 707-7009

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

315 E Shore Rd
Manhasset, NY 11030
Phone (516) 773-6611

380 2nd Ave
Fl 10
New York, NY 10010
Phone (212) 254-3570

139 Centre St
Ste 620
New York, NY 10013
Phone (212) 288-8084

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • Direct secure messaging: shermanchan@mai.allscriptsdirect.net
  • Direct secure messaging: shc9127@direct.nyp.org

Organizations & group practices 10

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 4

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1811184047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577",
            "fax_number": "516-487-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577",
            "fax_number": "516-487-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57-10 Junction Boulevard",
            "address_2": "Suite H1",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-505-1239",
            "fax_number": "718-505-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ste 620",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134556",
            "country_code": "US",
            "telephone_number": "212-288-8084",
            "fax_number": "122-888-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2508 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112293916",
            "country_code": "US",
            "telephone_number": "718-258-1800",
            "fax_number": "718-505-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "242915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03352141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.