Mira Sherer, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

216785-1 Issued in NY

Practice address

8712 4TH Ave
Brooklyn, NY 11209-5110

Phone

(718) 680-1600

Fax

(718) 680-4473

NPI assigned

Apr 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 12

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

Specialty

Neurology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Mihail Medvedovsky Physician PCGroup PAC ID 3779474937, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Century Medical & Dental Center Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1144399098
  Medicare reassignment Care Compare group NPD
• Mihail Medvedovsky Physician PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1942304001
  Medicare reassignment Care Compare group NPD
• All Neurological Services PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1881711596
  NPD (past)
• Brooklyn Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568668119
  NPD (past)
• New Horizon Medical P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Brooklyn, NY
  • NPI 1659324192
  NPD (past)
• SK Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1578108635
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912961616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GAYLORD DR N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346711",
            "telephone_number": "718-331-1442",
            "fax_number": "718-680-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095110",
            "telephone_number": "718-680-1600",
            "fax_number": "718-680-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERER",
        "first_name": "MIRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "216785-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010116302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "128720301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1424985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3099497",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186932",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2749118",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "11202375",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "2167851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "4C4368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "11-3552139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "458N61",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NBF",
            "identifier": "11-3552139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadeem Sheraz
• Andleeb Sherazi, M.D
• Stanley Sherbell, M.D.
• Arkadiy Sherer, MD
• David M. Sherer, M.D.
• Brocha Shereshevsky
• Gary Shereshevsky, PH.D.
• Lauren Michelle Shereshevsky
• Bernadette Lizina Sheridan, MD
• Denise Michele Sheridan, MA, CCC-SLP

• Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.