Active NPI
Nisha Pradeep
- Psychiatric/Mental Health Nurse Practitioner
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401586-1
- Practice address
- 500 Old Country Rd Ste 315
Garden City, NY 11530-1944 - Phone
- (516) 424-8387
- NPI assigned
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401586-1 | NY | Primary |
Addresses
Primary practice location
500 Old Country Rd Ste 315
Garden City, NY 11530-1944
Mailing address
89 Central Ave
Garden City Park, NY 11040-4134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Buffalo School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Old Country Rd
Suite 315
Garden City, NY 11530-1901
500 Old Country Rd
Suite 315
Garden City, NY 11530-1944
Phone (516) 424-8387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401586-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivia Medical PLLC | Current | Accepting new patients | |
| Manas NP-Psychiatry P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| The Long Island Home | Current | Accepting new patients | |
| The Long Island Home | Current | Accepting new patients | |
| Rivia Medical PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Simi Joseph Nurse Practitioner in Psychiatry P C | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000
500 Old Country Rd
Ste 315
Garden City South, NY 11530
Phone (516) 243-9480
274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Garden City, NY
- NPI 1811764293
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1134644032
-
- Psychiatric Hospital
- Amityville, NY
- NPI 1821394016
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1871026500
-
- Nutritionist
- New York, NY
- NPI 1871280818
-
- Psychiatric Hospital
- Amityville, NY
- NPI 1568459204
-
- Psychiatric/Mental Health Nurse Practitioner
- East Meadow, NY
- NPI 1003307950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1023455995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CENTRAL AVE",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110404134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OLD COUNTRY RD STE 315",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301944",
"telephone_number": "516-424-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADEEP",
"first_name": "NISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401586-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.