Bernadette Lizina Sheridan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

149698 Issued in NY

Practice address

1222 E 96TH St
Brooklyn, NY 11236-3903

Phone

(718) 257-3355

NPI assigned

Aug 29, 2005

Last updated

Jan 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

State University of New York at Buffalo School of Medicine, 1979

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bernadette.sheridan.1@932.direct.athenahealth.com
• Direct secure messaging: bes9099@direct.nyp.org
• FHIR API: https://api.platform.athenahealth.com/932/brand/1/csg/1/fhir/r4

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

• Grace Family Medical Practice PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1043232143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1639162365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363903",
            "telephone_number": "718-257-3355",
            "fax_number": "718-257-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363903",
            "telephone_number": "718-257-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "BERNADETTE",
        "middle_name": "LIZINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "149698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00778863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M. Sherer, M.D.
• Mira Sherer, D.O.
• Brocha Shereshevsky
• Gary Shereshevsky, PH.D.
• Lauren Michelle Shereshevsky
• Denise Michele Sheridan, MA, CCC-SLP
• Farida Moustafa Sherief, RPH
• Sherif El-Salawy Medical. P.C
• Sherif Medical PC (Sherif Meidcal PC)
• Sherif Rehab PT PC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.