Shirley Mathew MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57561 Issued in NY

Legal business name

SHIRLEY MATHEW MD PLLC

Practice address

287 Northern Blvd
Suite 108
Great Neck, NY 11021-4717

Phone

(516) 315-3886

Fax

(516) 829-7926

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Mathew, MDNPI 1508813924

Title

Medical Director

Phone

(516) 315-3886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Mathew, MD

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1508813924
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1013962802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214717",
            "telephone_number": "516-829-8777",
            "fax_number": "516-829-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214717",
            "telephone_number": "516-315-3886",
            "fax_number": "516-829-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY MATHEW MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-315-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "57561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl L. Feingold, M.D., P.C.
• Gang Shi, LAC
• Rona Shifteh
• Sharon Shifteh, OTR/L
• Suzan Shifteh, PA
• Alireza Shirvani, M.D.
• Shlomo Kuperman MD PLLC
• Sepideh Shokrain, RPH
• David Shokrian, MD
• Jasmine Shokrian

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.