Individual provider Active NPI

John Cutler Shershow, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1194039701
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
103476 Issued in NY
Practice address
240 Central Park S
Suite 2H
New York, NY 10019-1457
Phone
(800) 388-9299
Fax
(516) 528-9958
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 103476 NY Primary

Addresses

Primary practice location

240 Central Park S
Suite 2H
New York, NY 10019-1457

Mailing address

240 Central Park S
Suite 2H
New York, NY 10019-1457
Phone (800) 388-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103476NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Wyoming Inc. PastSince Jul 10, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1194039701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "SUITE 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "800-388-9299",
            "fax_number": "516-528-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "SUITE 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "800-388-9299",
            "fax_number": "516-528-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERSHOW",
        "first_name": "JOHN",
        "middle_name": "CUTLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "103476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.