Individual provider Active NPI

Archana Nischal, M.D

  • Family Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1790825594
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
247389 Issued in NY
Practice address
608A Jericho Tpke
New Hyde Park, NY 11040-4512
Phone
(516) 499-6962
Fax
(516) 352-0740
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 247389 NY Primary

Addresses

Primary practice location

608A Jericho Tpke
New Hyde Park, NY 11040-4512

Mailing address

1756 Aladdin Ave
New Hyde Park, NY 11040-4012
Phone (516) 499-6962

Other names 1

  • Dr. Archana Asopa Former name

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
I20130531000126 NY Practitioner - Family Practice 1557509635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nischal Medical Professional CorporationGroup PAC ID 1153572276, 2 clinicians

Practice addresses (Care Compare)

172 Herricks Rd
Mineola, NY 11501-2206
Phone (516) 499-6963

National Provider Directory

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

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1790825594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 ALADDIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404012",
            "telephone_number": "516-499-6962",
            "fax_number": "516-352-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404512",
            "telephone_number": "516-499-6962",
            "fax_number": "516-352-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISCHAL",
        "first_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "247389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARCHANA",
            "last_name": "ASOPA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.