Individual provider Active NPI

Neven I Nassif, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1235439456
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259120 Issued in NY
Practice address
2315 Victory Blvd
Staten Island, NY 10314-6623
Phone
(718) 477-6900
Fax
(718) 477-7862
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 259120 NY Primary

Addresses

Primary practice location

2315 Victory Blvd
Staten Island, NY 10314-6623

Mailing address

9 Abbey Rd
Staten Island, NY 10308-1346
Phone (718) 801-2574

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000113 NY Practitioner - Internal Medicine 5193908127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

800 Castleton Ave
Staten Island, NY 10310-1805
Phone (718) 818-4570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Nov 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Amboy Medical Practice PC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Grace Medical LLC CurrentSince Mar 23, 2026 Accepting new patients
Richmond Medical Center Past Accepting new patients

Locations

2315 Victory Blvd
Staten Island, NY 10314
Phone (718) 477-6900

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

4982 Hylan Blvd
Staten Island, NY 10312
Phone (718) 477-6900

800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: neven.nassif.1@19656.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1235439456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ABBEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081346",
            "telephone_number": "718-801-2574",
            "fax_number": "718-477-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146623",
            "telephone_number": "718-477-6900",
            "fax_number": "718-477-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF",
        "first_name": "NEVEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.