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IDAN SHARON MD PC NPI 1689845315


NPI Information

NPI: 1689845315
Provider Name: IDAN SHARON, MD, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D2051136

Address:
345 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 680-8105
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IDAN SHARON, MD, PC is a specialist in Staten Island, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IDAN SHARON, MD, PC NPI is 1689845315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

345 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-244
Phone: (718) 680-8105
Fax: (718) 680-6556

The provider's authorized official is Idan Sharon .
The authorized official title is Physician and has the following contact phone number (718) 680-8105.

The CLIA number assigned to this NPI record is 33D2051136 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist197670NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WEQ261MEDICARE PINNEW YORK
202085821MEDICAIDNEW YORK
3G07045MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.