Individual provider Active NPI

Sheldon Rabin, M.D.

  • Ophthalmology Physician
  • Flushing, NY
National Provider Identifier
1922192343
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
112082 Issued in NY
Practice address
41-61 Kissena Blvd.
Entrance on Barclay Ave
Flushing, NY 11355
Phone
(718) 539-4010
Fax
(718) 321-9587
NPI assigned
Oct 2, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 112082 NY Primary

Addresses

Primary practice location

41-61 Kissena Blvd.
Entrance on Barclay Ave
Flushing, NY 11355

Mailing address

59 Wensley Drive
Great Neck, NY 11020-1835
Phone (718) 539-4010

Other identifiers 1

IdentifierTypeStateIssuer
00202520MedicaidNY

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
I20040429001601 NY Practitioner - Ophthalmology 8628965613 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Ophthalmology PLLC Ophthalmology CurrentSince Jan 2, 2024 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
New York Eye Care & Surgery PC Ophthalmology Past Accepting new patients
Boro Medical, P.C. Ophthalmology Past Accepting new patients
BBB Health Resources LLC Past Accepting new patients

Locations

4014 Church Ave
Brooklyn, NY 11203
Phone (516) 829-2020

Interoperability endpoints

  • Direct secure messaging: sheldonrabin@whmc.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1922192343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WENSLEY DRIVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201835",
            "telephone_number": "718-539-4010",
            "fax_number": "718-321-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-61 KISSENA BLVD.",
            "address_2": "ENTRANCE ON BARCLAY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-539-4010",
            "fax_number": "718-321-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.