NPIMap

Organization Active NPI

Pulmonary Critical Care & Sleep Medicine of Nassau P.C.

  • Pulmonary Disease Physician
  • Bellerose, NY
National Provider Identifier
1083931612
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
241650 Issued in NY
Legal business name
PULMONARY CRITICAL CARE & SLEEP MEDICINE OF NASSAU P.C.
Practice address
250-12 Hillside Avenue
Suite B
Bellerose, NY 11426-2139
Phone
(718) 347-0411
Fax
(718) 347-0455
NPI assigned
Apr 21, 2010
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sandeep Mehrishi, M.D.NPI 1992764997
Title
President
Phone
(718) 347-0411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241650 NY
Pulmonary Disease Physician 207RP1001X 241650 NY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 241650 NY

Addresses

Primary practice location

250-12 Hillside Avenue
Suite B
Bellerose, NY 11426-2139

Mailing address

65-11 Booth Street
Suite 1C
Rego Park, NY 11374-4184
Phone (718) 806-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101018000221 NY Part B Supplier - Clinic/Group Practice 7113110651 Receives reassigned benefits from 3 practitioners
Practice locations: Forest Hills, NY; Glen Oaks, NY; Great Neck, NY; Manhasset, NY; New Hyde Park, NY; Rockville Centre, NY

National Provider Directory

National Provider Directory
Tax ID family
Citiwide Comprehensive Sleep Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Broadway
Brooklyn, NY 11211

35 Spencer St
Ste 200
Brooklyn, NY 11205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1083931612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-11 BOOTH STREET",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250-12 HILLSIDE AVENUE",
            "address_2": "SUITE B",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262139",
            "telephone_number": "718-347-0411",
            "fax_number": "718-347-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CRITICAL CARE & SLEEP MEDICINE OF NASSAU P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "MEHRISHI",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-347-0411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241650",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "241650",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "241650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.