Individual provider Active NPI

Joseph Nissenfeld, M.D.

  • Psychiatry Physician
  • Monsey, NY
National Provider Identifier
1497956668
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
244571 Issued in NY
Practice address
25 Robert Pitt Dr
Monsey, NY 10952-3365
Phone
(845) 425-5252
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 244571 NY Primary

Addresses

Primary practice location

25 Robert Pitt Dr
Monsey, NY 10952-3365

Mailing address

7522 137TH St
Flushing, NY 11367-2831
Phone (347) 369-4548

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
I20130327000432 NY Practitioner - Psychiatry 2264677061 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kahr Health LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

421 Route 59
Monsey, NY 10952
Phone (718) 694-9000

Interoperability endpoints

  • Direct secure messaging: jnissenfeld680150@nychhc.direct-ci.com

Organizations & group practices 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1497956668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 137TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672831",
            "telephone_number": "347-369-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523365",
            "telephone_number": "845-425-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSENFELD",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.