Individual provider Active NPI

Nisha Rani Krishan Dave, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1417094897
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
237543 Issued in NY
Practice address
1901 First Avenue, Room 6D-22
Metropolitan Hospital Center
New York, NY 10029
Phone
(212) 423-6457
Fax
(212) 423-7667
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA07066200 NJ
Ophthalmology Physician 207W00000X 237543 NY Primary

Addresses

Primary practice location

1901 First Avenue, Room 6D-22
Metropolitan Hospital Center
New York, NY 10029

Mailing address

8 Worchester LN
Princeton Junction, NJ 08550-1510
Phone (609) 897-0715

Other names 1

  • Dr. Nisha Krishan Dave Professional name

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
I20090409000573 NY Practitioner - Ophthalmology 8325081235 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07066200NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Steven G Safran MD,PA Past Accepting new patients

Locations

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1901 1st Ave
Rm 6D22
New York, NY 10029
Phone (212) 423-6457

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nkrishandave839686@nychhc.direct-ci.com

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1417094897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WORCHESTER LN",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501510",
            "telephone_number": "609-897-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE, ROOM 6D-22",
            "address_2": "METROPOLITAN HOSPITAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6457",
            "fax_number": "212-423-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHAN DAVE",
        "first_name": "NISHA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07066200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "237543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "DAVE",
            "middle_name": "KRISHAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.