Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shidley Prophete I, MD

Individual provider Family Medicine Physician · NPI 1841751336

Dr. Shidley Prophete I, MD is a Family Practice in Plainview, New York. Qualified in 2018, 8 years ago. Practices with Central Suffolk Hospital, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

888 Old Country Rd
Plainview, NY 11803-4914
Phone: (516) 719-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 S Broadway, Yonkers, NY 10701-4006 — (914) 378-7586

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 322627 (NY)

Record details

NPI number1841751336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Suffolk Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Plainview