Individual provider Active NPI

Neesha Ramchandani, NP

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1720056468
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381442 Issued in NY
Practice address
3415 Bainbridge Ave
Div. of Pediatric Endocrinology & Diabetes
Bronx, NY 10467-2403
Phone
(718) 920-4664
Fax
(718) 405-5609
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381442 NY Primary

Addresses

Primary practice location

3415 Bainbridge Ave
Div. of Pediatric Endocrinology & Diabetes
Bronx, NY 10467-2403

Mailing address

3415 Bainbridge Ave
Div. of Pediatric Endocrinology & Diabetes
Bronx, NY 10467-2403
Phone (718) 920-4664

Other identifiers 1

IdentifierTypeStateIssuer
02712090MedicaidNY

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
I20060202000659 NY Practitioner - Nurse Practitioner 2769496306 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F381442NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Mar 19, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 19, 2025 Accepting new patients
MMC Pediatrics Faculty Practice Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

1991 Marcus Ave
Ste M100
New Hyde Park, NY 11042
Phone (516) 472-3650

300 Community Dr
Plandome, NY 11030

755 N Broadway
Ste 500
Sleepy Hollow, NY 10591
Phone (914) 366-0015

Networks

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

Interoperability endpoints

  • Direct secure messaging: neesharamchandani@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: nramchandani61153@northwell.direct-ci.com

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1720056468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE",
            "address_2": "DIV. OF PEDIATRIC ENDOCRINOLOGY & DIABETES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-920-4664",
            "fax_number": "718-405-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE",
            "address_2": "DIV. OF PEDIATRIC ENDOCRINOLOGY & DIABETES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-920-4664",
            "fax_number": "718-405-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHANDANI",
        "first_name": "NEESHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02712090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.