Individual provider Active NPI

Nidhi Sharoha, D.O.

  • Psychosomatic Medicine Physician
  • Syosset, NY
National Provider Identifier
1285079178
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
284158 Issued in NY
Practice address
60 Queens St
Syosset, NY 11791-3058
Phone
(844) 263-0400
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 284158 NY Primary

Addresses

Primary practice location

60 Queens St
Syosset, NY 11791-3058

Mailing address

60 Queens St
Syosset, NY 11791-3058
Phone (844) 263-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180207001925 NY Practitioner - Psychiatry 6507165636 Reassigns benefits to 2 organizations
I20221121003402 NJ Practitioner - Psychiatry 6507165636 Reassigns benefits to 1 organization
I20230202002297 CT Practitioner - Psychiatry 6507165636 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Medical Associates, P.C. CurrentSince Aug 10, 2024 Accepting new patients
MCCD Psychiatry Services PLLC CurrentSince Sep 1, 2021 Accepting new patients
CS Medical Associates, P.C. CurrentSince Aug 10, 2024 Accepting new patients
MCCD New Jersey Psychiatry Services LLC CurrentSince Jul 19, 2023 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 1, 2023 Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Past Accepting new patients

Locations

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
#55
New York, NY 10001

2 Coraci Blvd
Ste 16
Shirley, NY 11967

Organizations & group practices 6

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1285079178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 QUEENS ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913058",
            "telephone_number": "844-263-0400",
            "fax_number": "855-263-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUEENS ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913058",
            "telephone_number": "844-263-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAROHA",
        "first_name": "NIDHI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "284158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.