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IDAN SHARON, MD, PC
NPI 1689845315
Specialist in Staten Island, NY

Active since March 20, 2008CLIA 33D2051136 · Waiver
345 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 680-8105(718) 680-6556 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Idan Sharon, Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAN SHARON, MD, PC (NPI 1689845315) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through December 12, 2026, maintains a secondary practice location in Brooklyn, and lists Idan Sharon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1689845315
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIDAN SHARON, MD, PC
Location Address345 SEAVIEW AVEStaten Island, NY 10305-2244
Mailing Address398 Bond StBrooklyn, NY 11231-4812 · (718) 680-8105 · Fax (718) 680-6556
Phone(718) 680-8105
Fax(718) 680-6556
Organization SubpartNo
Authorized OfficialIdan SharonAuthorized Official · (718) 680-8105
Enumeration DateMarch 20, 2008
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1689845315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 197670
Definition
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.
345 SEAVIEW AVE, Staten Island, NY 10305
Open in Google Maps ↗

Secondary Practice Location 1

Location 16917 Shore RdBrooklyn, NY 11209-1057 · Phone (718) 680-8105

Other Identifiers 1

Medicaid02085821NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idan Sharon, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Idan Sharon, MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Idan Sharon, M.D.
Neurology
NPI 1205852845
6917 SHORE RD
Brooklyn, NY 11209
(718) 680-8105
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2051136

Idan Sharon, MD · Staten Island, NY
Active · expires Dec 12, 2026
CLIA Number33D2051136
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorIdan Sharon
Laboratory Phone(212) 945-4554
Laboratory LocationIdan Sharon, MD345 Seaview Avenue, Staten Island, NY 10305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idan Sharon, MD, PC's NPI number?

The NPI number for Idan Sharon, MD, PC is 1689845315. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Idan Sharon, MD, PC located?

Idan Sharon, MD, PC is located at 345 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 680-8105.

What is Idan Sharon, MD, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Idan Sharon, MD, PC enrolled in Medicare?

Yes. Idan Sharon, MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idan Sharon, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Idan Sharon, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Idan Sharon, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2051136) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idan Sharon, MD, PC was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.