Individual provider Active NPI

Janette Nesheiwat, M.D.

  • Family Medicine Physician
  • Uniondale, NY
National Provider Identifier
1649487844
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
275185 Issued in NY
Practice address
1345 RXR PLZ
Uniondale, NY 11556-1301
Phone
(516) 783-4600
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 275185 NY Primary
Family Medicine Physician 207Q00000X 390200000X AR

Addresses

Primary practice location

1345 RXR PLZ
Uniondale, NY 11556-1301

Mailing address

1869 Par LN
Apt 101
Springdale, AR 72762-5619
Phone (410) 236-7809

Other identifiers 1

IdentifierTypeStateIssuer
172976001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080812000352 AR Practitioner - Family PracticePractitioner - Emergency Medicine 6709951619 Reassigns benefits to 2 organizations
I20140725000017 NY Practitioner - Family Practice 6709951619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000XARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians, LLP CurrentSince Jan 6, 2014 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Washington Regional Medical System CurrentSince Sep 1, 2012 Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 10, 2014 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 10, 2014 Accepting new patients
South Arkansas Emergency Physicians LLP Current Accepting new patients
Arkansas Gatewood Emergency Room Services, PA Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Organizations & group practices 8

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1649487844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 PAR LN",
            "address_2": "APT 101",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625619",
            "telephone_number": "410-236-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-783-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESHEIWAT",
        "first_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275185",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172976001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

Verify at the official NPI Registry.