Individual provider Active NPI

Nisha Zachariah, FNP-BC

  • Family Nurse Practitioner
  • Nanuet, NY
National Provider Identifier
1760953681
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343665 Issued in NY
Practice address
17 Terrace Ave
Nanuet, NY 10954
Phone
(845) 300-9670
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343665 NY Primary

Addresses

Primary practice location

17 Terrace Ave
Nanuet, NY 10954

Mailing address

17 Terrace Ave
Nanuet, NY 10954
Phone (845) 300-9670

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
I20190419000134 NY Practitioner - Nurse Practitioner 8426390527 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343665NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Allied Medical of Ny PC CurrentSince Feb 19, 2024 Accepting new patients
Medical Director Services PC CurrentSince Feb 16, 2020 Accepting new patients
Cogent Medical Care PC CurrentSince Oct 14, 2024 Accepting new patients
World Chiropractic Incorporated Past Accepting new patients

Locations

510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

111 E 210th St
Bronx, NY 10467

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

12 Tibbits Ave
White Plains, NY 10606
Phone (914) 287-7200

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1760953681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TERRACE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-300-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TERRACE AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-300-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "NISHA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.