Shirley M Madhere, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

218654 Issued in NY

Practice address

594 Broadway RM 204
New York, NY 10012-3234

Phone

(212) 941-1571

Fax

(212) 941-8083

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1609985787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 227TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133539",
            "telephone_number": "212-941-1571",
            "fax_number": "212-994-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 BROADWAY RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123234",
            "telephone_number": "212-941-1571",
            "fax_number": "212-941-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHERE",
        "first_name": "SHIRLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "218654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madge Dargan OT PLLC
• Christina Welsh Madhany, MD
• Valsa Madhava, MD
• Mahesh Vasantha Madhavan
• Krishna Chaitanya Madhavarapu, M.D.
• Dhurata Madhi, REGISTERED NURSE
• Madhok Medical Corporation
• Obaidullah Madhosh, DMD
• Bridget Madigan-Sharp, LMSW
• Sally Cooper Madigan, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.