Jeffrey Marc Sherwood, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

107177 Issued in NY

Practice address

33 Flying Point Rd
Suite 123
Southampton, NY 11968-5248

Phone

(631) 287-9696

Fax

(631) 726-9323

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1063759777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FLYING POINT RD",
            "address_2": "SUITE 123",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685248",
            "telephone_number": "631-287-9696",
            "fax_number": "631-726-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FLYING POINT RD",
            "address_2": "SUITE 123",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685248",
            "telephone_number": "631-287-9696",
            "fax_number": "631-726-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "JEFFREY",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "107177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Marie Seifert, LCSW
• Dianne Sena, MSW
• Danielle Seraile, PSYD
• Jacqueline Anne Shaw, PA-C
• Peter D Shelton, PA
• Riddhish Sheth, MD
• Sally Shukry, DO
• Robert James Sicurelli Jr., AB.DDS
• Scott Silverberg
• Eric Sin, M.D.

• Surgery Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.