Sheldon M Petersel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

148395 Issued in NY

Practice address

5 Wood CT
Syosset, NY 11791-6518

Phone

(516) 932-7560

NPI assigned

Sep 22, 2006

Last updated

Nov 27, 2007By 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1205936044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOOD CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916518",
            "telephone_number": "516-932-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOOD CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916518",
            "telephone_number": "516-932-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEL",
        "first_name": "SHELDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul I Schneiderman, MD PC
• Shenyi Peng
• Dianna Eugenia Perez
• Joseph Perrotta, MD
• Laurence Perry, MS. SAS, SDA
• Erin Peterson, CRNA
• Bernadette Phelan
• Sydney D Phelan
• Phillip Fyman and Alexander Weingarten MD PC (Accutox Medical Diagnostic)
• Gabrielle Lauren Piazza

• Internal Medicine Physician in Syosset, NY
• Providers in Syosset, 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 Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.