MEDICARE: DR. IRA SHELDON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MB31738	NJ
2	207Q00000X	Family Medicine Physician	124458	NY
3	207P00000X	Emergency Medicine Physician	124458	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407813835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA SHELDON DO

Provider Business Mailing Address
First Line	:	17 EASTERN DR
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550
Country	:	US
Telephone Number	:	609-520-8565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 BROOKHAVEN AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-3626
Country	:	US
Telephone Number	:	718-347-3627
Fax Number	:	347-246-7482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	03/18/2026

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