Active NPI
Marie-Florence Shadlen, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1306850656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 251746
- Practice address
- 346 21St St Apt 1L
Brooklyn, NY 11215-6453 - Phone
- (929) 722-5520
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 36296 | SC | |
| Internal Medicine Physician | 207R00000X | 36296 | SC | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 36296 | SC | |
| Internal Medicine Physician | 207R00000X | 251746 | NY | Primary |
Addresses
Primary practice location
346 21St St Apt 1L
Brooklyn, NY 11215-6453
Mailing address
346 21St St Apt 1L
Brooklyn, NY 11215-6453
Phone (929) 722-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362967 | Medicaid | SC |
Other names 1
- Marie-Florence Wellington
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36296 | SC | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1306850656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 21ST ST APT 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156453",
"telephone_number": "929-722-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 21ST ST APT 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156453",
"telephone_number": "929-722-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADLEN",
"first_name": "MARIE-FLORENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "SC",
"license": "36296",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36296",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "SC",
"license": "36296",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "251746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362967",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE-FLORENCE",
"last_name": "WELLINGTON",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.