DR. BERNADETTE LIZINA SHERIDAN (NPI# 1639162365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639162365 |
| Entity Type | Individual |
| Full Name | DR. BERNADETTE LIZINA SHERIDAN |
| Credential | MD |
| Practice Address |
1222 E 96th St Brooklyn NY 11236-3903 |
| Practice Telephone | 7182573355 |
| Mailing Telephone | 7182573355 |
| Mailing Fax Number | 7182574562 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 149698 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00778863 | 05 |
| Street Address |
1222 E 96TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748446 | Sabrina Foskey | Nurse Practitioner | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2005-08-24 |
| 1215456447 | Brooklyn Surgical Pllc | Surgery | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2017-09-19 |
| 1790024875 | Acare Hhc Inc | Home Health | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2013-02-08 |
| 1881916542 | Helene Camarda | Pharmacist | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2010-02-23 |
| 1184894156 | Jonathan R Shaatal | Pharmacist | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2008-03-06 |
| 1922212976 | Patricia Walker-tulloch | Dietitian, Registered | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2007-05-09 |
| 1275686131 | Fekade Tefera Physician, P.C. | Internal Medicine | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2007-01-22 |
| 1043232143 | Grace Family Medical Practice PC | Legal Medicine | 1222 E 96th St, 2nd Fl, Brooklyn, NY 11236-3903 | 2006-07-25 |
| 1336177328 | Fekade Tefera | Internal Medicine | 1222 E 96th St, Brooklyn, NY 11236-3903 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.