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SHIRLEY MATHEW MD PLLC
NPI 1013962802
Internal Medicine in Great Neck, NY

Active since May 23, 2006
287 NORTHERN BLVD, SUITE 108, GREAT NECK, NY 11021(516) 315-3886(516) 829-7926 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirley Mathew Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY MATHEW MD PLLC (NPI 1013962802) is a healthcare organization registered as an internal medicine in Great Neck, New York and active in the NPI registry since May 2006. The organization lists Shirley Mathew, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013962802
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHIRLEY MATHEW MD PLLC
Location Address287 NORTHERN BLVD, SUITE 108Great Neck, NY 11021-4717
Mailing Address287 Northern Blvd, Suite 108Great Neck, NY 11021-4717 · (516) 829-8777 · Fax (516) 829-7926
Phone(516) 315-3886
Fax(516) 829-7926
Organization SubpartNo
Authorized OfficialShirley MathewMedical Director · (516) 315-3886
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1013962802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 57561
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
287 NORTHERN BLVD, Great Neck, NY 11021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Mathew Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shirley Mathew MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shirley Mathew, MD
Internal Medicine
NPI 1508813924
104 N RICHMOND AVE
Massapequa, NY 11758
(516) 829-8777
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Mathew MD PLLC's NPI number?

The NPI number for Shirley Mathew MD PLLC is 1013962802. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Shirley Mathew MD PLLC located?

Shirley Mathew MD PLLC is located at 287 Northern Blvd Suite 108, Great Neck, NY 11021. The listed phone number is (516) 315-3886.

What is Shirley Mathew MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shirley Mathew MD PLLC enrolled in Medicare?

Yes. Shirley Mathew MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shirley Mathew MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shirley Mathew MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Mathew MD PLLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.