Individual provider Active NPI

Sanjiv Sharma, MD

  • Pulmonary Disease Physician
  • Plainview, NY
National Provider Identifier
1821042565
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
168070 Issued in NY
Practice address
10 Gerhard Rd
Plainview, NY 11803-5502
Phone
(516) 938-4592
Fax
(516) 692-2683
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 168070 NY Primary

Addresses

Primary practice location

10 Gerhard Rd
Plainview, NY 11803-5502

Mailing address

19 Shadow LN
Woodbury, NY 11797-2810
Phone (516) 938-4592

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
I20060202000631 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1153335708 Reassigns benefits to 2 organizations
Practice locations: Syosset, NY; Woodbury, NY; Valley Stream, NY; Plainview, NY; Manhasset, NY; Bethpage, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Gerhard Rd
Plainview, NY 11803-5502
Phone (516) 938-4592

221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6400

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168070NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

300 Community Dr
Plandome, NY 11030

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

8533 Jericho Tpke
Woodbury, NY 11797
Phone (516) 692-4100

Interoperability endpoints

  • Direct secure messaging: ssharma68422@northwell.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821042565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SHADOW LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972810",
            "telephone_number": "516-938-4592",
            "fax_number": "516-692-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GERHARD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035502",
            "telephone_number": "516-938-4592",
            "fax_number": "516-692-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJIV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "168070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.