NPIMap

Organization Active NPI

Sheryl a Pearl MD PC

  • Family Medicine Physician
  • Woodmere, NY
National Provider Identifier
1003983321
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219051 Issued in NY
Legal business name
SHERYL A PEARL MD PC
Practice address
951 Broadway
Woodmere, NY 11598-1733
Phone
(516) 569-0776
Fax
(516) 569-0776
NPI assigned
Nov 30, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Sheryl A Pearl, M.D.NPI 1336164235
Title
President
Phone
(516) 569-0776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219051 NY Primary

Addresses

Primary practice location

951 Broadway
Woodmere, NY 11598-1733

Mailing address

951 Broadway
Woodmere, NY 11598-1733
Phone (516) 569-0776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000496 NY Part B Supplier - Clinic/Group Practice 7810966702 Receives reassigned benefits from 24 practitioners
Practice locations: Oceanside, NY; Woodmere, NY; Valley Stream, NY; Long Beach, NY

National Provider Directory

National Provider Directory

Locations

951 Broadway
Woodmere, NY 11598
Phone (516) 569-0373

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1003983321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981733",
            "telephone_number": "516-569-0776",
            "fax_number": "516-569-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981733",
            "telephone_number": "516-569-0776",
            "fax_number": "516-569-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL A PEARL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-569-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.