Individual provider Active NPI

Patrick Neshiwat, DO

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1477173441
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
323811 Issued in NY
Practice address
1019 Yonkers Ave
Yonkers, NY 10704-3070
Phone
(914) 237-1941
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 323811 NY Primary

Addresses

Primary practice location

1019 Yonkers Ave
Yonkers, NY 10704-3070

Mailing address

1022 N Broadway
Yonkers, NY 10701-1332
Phone (914) 904-4039

Other practice location 1

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 798-8971

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
I20240514003784 NY Practitioner - Internal Medicine 8729429352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Medical PCGroup PAC ID 5890916068, 55 clinicians

Practice addresses (Care Compare)

967 N Broadway
Yonkers, NY 10701-1301
Phone (800) 513-3044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC Current Accepting new patients
SJR Medical, PC Internal Medicine CurrentSince Jun 20, 2024 Accepting new patients
Symphony Medical PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

128 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 693-6500

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

Networks

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

Interoperability endpoints

  • Direct secure messaging: neshiwat@stjohnsmedicalpc.directmedgenehr.com
  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patrick.neshiwat.p1@direct.mmc.nextgenshare.com

Organizations & group practices 3

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1477173441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011332",
            "telephone_number": "914-904-4039",
            "fax_number": "914-904-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043070",
            "telephone_number": "914-237-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011301",
            "country_code": "US",
            "telephone_number": "914-798-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESHIWAT",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "323811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.