NPIMap

Organization Active NPI

Harooni & Sheindlin MD PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1861597510
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
197285 Issued in NY
Legal business name
HAROONI & SHEINDLIN MD PC
Practice address
109 4TH Ave
Brooklyn, NY 11217-2712
Phone
(718) 438-5600
NPI assigned
Sep 14, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Mark HarooniNPI 1013014406
Title
MD
Phone
(718) 438-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 197285 NY Primary

Addresses

Primary practice location

109 4TH Ave
Brooklyn, NY 11217-2712

Mailing address

109 4TH Ave
Brooklyn, NY 11217-2712
Phone (718) 438-5600

Other practice location 1

719 Grand St
Brooklyn, NY 11211-4940
Phone (917) 386-2679

Other practice location 2

5205 Church Ave
Brooklyn, NY 11203-3513
Phone (718) 736-2323

Other practice location 3

1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (718) 221-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123001293 NY Part B Supplier - Clinic/Group Practice 3971568478 Receives reassigned benefits from 20 practitioners
Practice locations: Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

625 E Fordham Rd
#3
Bronx, NY 10458

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

1530 Bedford Ave
Fl 1
Brooklyn, NY 11216

374 Stockholm St
Rm 216
Brooklyn, NY 11237

9706 Church Ave
Brooklyn, NY 11212

9710 Church Ave
Brooklyn, NY 11212

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1861597510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-438-5600",
            "fax_number": "917-386-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-438-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Grand St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112114940",
            "country_code": "US",
            "telephone_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112033513",
            "country_code": "US",
            "telephone_number": "718-736-2323",
            "fax_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164117",
            "country_code": "US",
            "telephone_number": "718-221-2020",
            "fax_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAROONI & SHEINDLIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "HAROONI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-438-5600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "197285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.