Organization Active NPI

Nesheiwat Medical Practice, PC

  • Internal Medicine Physician
  • Hopewell Junction, NY
National Provider Identifier
1235364407
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NESHEIWAT MEDICAL PRACTICE, PC
Practice address
1989 Route 52, Suite 2
Hopewell Junction, NY 12533
Phone
(845) 765-2404
Fax
(845) 765-2406
NPI assigned
May 18, 2009
Last updated
May 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Ogleh Nesheiwat, M.D.NPI 1194809145
Title
President
Phone
(914) 610-5235

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1989 Route 52, Suite 2
Hopewell Junction, NY 12533

Mailing address

1989 Route 52, Suite 2
Hopewell Junction, NY 12533
Phone (845) 765-2404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000242 NY Part B Supplier - Clinic/Group Practice 9739231333 Receives reassigned benefits from 6 practitioners
Practice locations: Poughkeepsie, NY; Wappingers Falls, NY; New York, NY; Hopewell Junction, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1099588Nesheiwat Medical Practice PC1989 Route 52, Suite 2, Hopewell Junction, NY 12533Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

201 South Ave
Ste 205
Poughkeepsie, NY 12601
Phone (845) 214-1096

30 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 214-1096

Practitioners & affiliated clinicians

Practitioners 6

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1235364407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 ROUTE 52, SUITE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-765-2404",
            "fax_number": "845-765-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 ROUTE 52, SUITE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-765-2404",
            "fax_number": "845-765-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHEIWAT MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "NESHEIWAT",
        "authorized_official_first_name": "OGLEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-610-5235",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.