Active NPI
Susan P Sherkow, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1710164124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 107589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 107589 | NY | MD | Social 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.