Individual provider Active NPI

Rachel Sharret, M.D.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1891086922
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
275223-1 Issued in NY
Practice address
5645 Main St
Department of Pediatrics
Flushing, NY 11355
Phone
(718) 670-1033
Fax
(718) 445-0858
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 275223-1 NY Primary

Addresses

Primary practice location

5645 Main St
Department of Pediatrics
Flushing, NY 11355

Mailing address

5645 Main St
Department of Pediatrics
Flushing, NY 11355-5045
Phone (718) 670-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141107000639 NY Practitioner - Pediatric Medicine 4981826930 Reassigns benefits to 2 organizations
I20211101002764 NJ Practitioner - Pediatric Medicine 4981826930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275223-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens Pediatrics CurrentSince Oct 20, 2014 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Oct 20, 2014 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Apr 8, 2017 Accepting new patients
University Physician Associates of New Jersey Inc Pediatrics CurrentSince Jul 21, 2021 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jul 21, 2021 Accepting new patients
New York Queens Medicine and Surgery, P.C. Pediatrics CurrentSince Apr 8, 2017 Accepting new patients
BCD Health Partners Pediatrics Past Accepting new patients
Denville Pediatrics Associates PA Pediatrics Past Accepting new patients

Locations

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • Direct secure messaging: rsharret508165@direct.ahsys.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1891086922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1033",
            "fax_number": "718-445-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-670-1033",
            "fax_number": "718-445-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARRET",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "275223-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.