Shirley Nelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200298 Issued in NY

Practice address

55 Old Nyack Tpke Ste 507
Nanuet, NY 10954-2453

Phone

(845) 352-2899

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Hospice Hospice, New City, NY, CCN 331522
• Tolstoy Foundation Rehabilitation And Nrsg Center Nursing home, Valley Cottage, NY, CCN 335311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

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.

• Shirley Nelson DO PC

  • Primary Care Clinic/Center
  • Nanuet, NY
  • NPI 1073992285
  Medicare reassignment Authorized official
• Gramercy Medical Services P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1639678428

  Single Specialty

  Medicare reassignment NPD
• Visiting Services, LLC

  • Primary Care Clinic/Center
  • Spring Valley, NY
  • NPI 1083241392

  Single Specialty

  Medicare reassignment NPD
• Tolstoy Foundation Nursing Home Company Inc

  • Skilled Nursing Facility
  • Valley Cottage, NY
  • NPI 1114913902
  NPD (past)

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

• Tolstoy Foundation Nursing Home Company Inc

  • Skilled Nursing Facility
  • Valley Cottage, NY
  • NPI 1114913902

  Nursing home

  Care Compare affiliation
• United Hospice Inc.

  • Community Based Hospice Care Agency
  • New City, NY
  • NPI 1538166319
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1871654897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "STE 507",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542453",
            "telephone_number": "845-352-2899",
            "fax_number": "845-352-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE STE 507",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542453",
            "telephone_number": "845-352-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHIRLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073992285",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01858819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Physical Therapy PC
• Arshad Nelson, FNP
• Claire Nelson
• Dawn Nelson
• Nadege T Nelson, RN
• Sabrina Neptune, LMSW
• Chris Davies Nevin, FNP-C
• New England Orthotic & Prosthetic Systems, LLC
• New York Foundling Icf Aka St. Agatha'S 6 Duryea Lane
• Shailesh Newtzie

• Family Medicine Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.