Basic Information
| Provider Information | |||||||||
| NPI: | 1750315479 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHAROBEEM | ||||||||
| FirstName: | ESMAT | ||||||||
| MiddleName: | SAAD | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 441 9TH AVE | ||||||||
| Address2: | CREDENTIALING 3RD FL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100011623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6466802894 | ||||||||
| FaxNumber: | 5165425556 | ||||||||
| Practice Location | |||||||||
| Address1: | 1050 CLOVE ROAD | ||||||||
| Address2: | |||||||||
| City: | STATEN ISLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 103013627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188166440 | ||||||||
| FaxNumber: | 7188163611 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 12/08/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 163768 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0799602 | 05 | NJ | MEDICAID | 000000059379 | 01 | GHI HMO | OTHER | 57D591 | 01 | EMPIRE BC/BS | OTHER | P00077613 | 01 | RAILROAD MEDICARE | OTHER | 4265781 | 01 | AETNA PPO | OTHER | P2408715 | 01 | OXFORD | OTHER | 163768 | 01 | HIP/VYTRA | OTHER | 00968896 | 05 | NY | MEDICAID | 163768-B11 | 01 | HEALTHFIRST | OTHER | 2594304 | 01 | GHI PPO | OTHER | 2420443 | 01 | AETNA HMO | OTHER |