Individual provider Active NPI

Nehalben G. Sakhareliya, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1194238105
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342109-1 Issued in NY
Practice address
3071 Perry Ave
Bronx, NY 10467-4111
Phone
(718) 231-6700
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342109-1 NY Primary

Addresses

Primary practice location

3071 Perry Ave
Bronx, NY 10467-4111

Mailing address

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

Other practice location 1

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210611002623 NY Practitioner - Nurse Practitioner 7315347382 Reassigns benefits to 2 organizations
I20220414002381 NJ Practitioner - Nurse Practitioner 7315347382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

490 Pelham Rd
New Rochelle, NY 10805-1801
Phone (914) 636-2800

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342109NYMDGynecologic Oncology Physician
F342109-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Mar 12, 2021 Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

490 Pelham Rd
New Rochelle, NY 10805
Phone (914) 636-2800

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1194238105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 PERRY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674111",
            "telephone_number": "718-231-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PERRY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674111",
            "telephone_number": "718-231-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3071 Perry Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104674111",
            "country_code": "US",
            "telephone_number": "718-231-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKHARELIYA",
        "first_name": "NEHALBEN",
        "middle_name": "G.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.