Individual provider Active NPI

Neeta Mukhopadhyay, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1477728368
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304549 Issued in NY
Practice address
1775 Broadway
Suite 300
New York, NY 10019-1903
Phone
(212) 649-5555
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304549 NY Primary

Addresses

Primary practice location

1775 Broadway
Suite 300
New York, NY 10019-1903

Mailing address

1775 Broadway
Suite 300
New York, NY 10019-1903
Phone (212) 649-5555

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901000722 NY Practitioner - Nurse Practitioner 5092936559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dennis Mihale MD of Ny PCGroup PAC ID 7012325285, 4 clinicians

Practice addresses (Care Compare)

80 Arkay Dr
Hauppauge, NY 11788-3705
Phone (888) 985-5455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304549NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yoav Borsuk MD PC CurrentSince Jan 1, 2015 Accepting new patients
Dennis Mihale MD of Ny PC CurrentSince Jul 25, 2022 Accepting new patients

Locations

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

167 Madison Ave
Rm 605
New York, NY 10016
Phone (212) 979-8880

Interoperability endpoints

  • Direct secure messaging: neeta.m@borsuk.curemd.direct-ci.com
  • Direct secure messaging: neeta.mukhopadhyay.1@15578.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1477728368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BROADWAY",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191903",
            "telephone_number": "212-649-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROADWAY",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191903",
            "telephone_number": "212-649-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHOPADHYAY",
        "first_name": "NEETA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.