Nischal Medical Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

239532 Issued in NY

Legal business name

NISCHAL MEDICAL PROFESSIONAL CORPORATION

Practice address

172 Herricks Rd
Mineola, NY 11501-2206

Phone

(516) 499-6963

Fax

(516) 352-0740

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sanjeev Nischal, M.DNPI 1972609600

Title

President

Phone

(516) 499-6963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjeev Nischal, M.D.,DABFM

  • Family Medicine Physician
  • New Hyde Park, NY
  • NPI 1972609600
  Medicare reassignment Care Compare group Authorized official
• Archana Nischal, M.D

  • Family Medicine Physician
  • New Hyde Park, NY
  • NPI 1790825594
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1346505658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 ALADDIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404012",
            "telephone_number": "516-498-7838",
            "fax_number": "516-352-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012206",
            "telephone_number": "516-499-6963",
            "fax_number": "516-352-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISCHAL MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "NISCHAL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-499-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Nguyen
• Susan D Nicolas, P.A.
• Anne Niesenbaum, M.D.
• Kian Rod Niknam
• Nadine Ninivaggi
• Jennifer Maria Niznikiewicz, PA
• Rita Njoh, MD
• Obioma Michael Nkemakolam, MD
• Scott Nodelman, M.D.
• Kinchin Nonog

• Family Medicine Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.