Active NPI
Sheila Nolan, M.D.
- Pediatric Allergy/Immunology Physician
- Hawthorne, NY
National Provider Identifier
1104016823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 267706
- Practice address
- 19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144 - Phone
- (914) 493-8333
- Fax
- (914) 594-4366
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 267706 | NY | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | MD428132 | PA |
Addresses
Primary practice location
19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144
Mailing address
19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144
Phone (914) 493-8333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03120692 | Medicaid | NY | |
| A400084747 | Other | NY | MEDICARE PTAN |
| A400084748 | Other | NY | MEDICARE PTAN |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267706 | NY | MD | Pediatric Allergy/Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatric Allergy/Immunology | Current | Accepting new patients |
Locations
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997
257 Lafayette Ave
Ste 370
Suffern, NY 10901
Phone (914) 304-5300
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nolans@hiemail.healtheconnections.org
- sheila.nolan.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatric Allergy/Immunology
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1104016823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "SUITE 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322144",
"telephone_number": "914-493-8333",
"fax_number": "914-594-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "SUITE 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322144",
"telephone_number": "914-493-8333",
"fax_number": "914-594-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "SHEILA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NY",
"license": "267706",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "PA",
"license": "MD428132",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03120692",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400084747",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400084748",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.