Individual provider Active NPI

Susan P Sherkow, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1710164124
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
107589 Issued in NY
Practice address
9 E 93Rd St
GRD Floor
New York, NY 10128-0666
Phone
(212) 717-0099
Fax
(212) 717-0015
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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 107589 NY Primary

Addresses

Primary practice location

9 E 93Rd St
GRD Floor
New York, NY 10128-0666

Mailing address

9 E 93Rd St
GRD Floor
New York, NY 10128-0666
Phone (212) 717-0099

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107589NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1710164124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 93RD ST",
            "address_2": "GRD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280666",
            "telephone_number": "212-717-0099",
            "fax_number": "212-717-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 93RD ST",
            "address_2": "GRD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280666",
            "telephone_number": "212-717-0099",
            "fax_number": "212-717-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERKOW",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "107589",
            "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 Feb 26, 2013; 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.