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

Maryline Shang Nformi, MD

Individual provider Internal Medicine Physician · NPI 1114386265

Maryline Shang Nformi, MD is an Internal Medicine in Staten Island, New York. Qualified in 2000, 26 years ago. Practices with Mary Washington Healthcare Providers LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
26
Licensed in
MD
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Avenue Dep't Of Medicine Villa B'Dg 1st Fl
Staten Island, NY 10310-1664
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D89827 (MD)

Record details

NPI number1114386265
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2016
Last updated in NPPESJuly 21, 2022
Certification dateAugust 17, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mary Washington Healthcare Providers Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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