Active NPI
Nelson Rafael Giraldo, M.D.
- Family Medicine Physician
- Bay Shore, NY
National Provider Identifier
1902996093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 175993
- Practice address
- 10 Brentwood Rd
Bay Shore, NY 11706 - Phone
- (631) 665-8007
- Fax
- (631) 665-8914
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 175993 | NY | Primary |
Addresses
Primary practice location
10 Brentwood Rd
Bay Shore, NY 11706
Mailing address
10 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-8007
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025185 | Other | NY | AETNA |
| 1180 | Other | NY | VYTRA |
| 0488131 | Other | NY | CIGNA |
| 142428 | Medicaid | NY | |
| 3C9490 | Other | NY | HEALTHNET |
| 9657827 | Other | NY | GHI |
| P431628 | Other | NY | OXFORD |
| 02F671 | Other | NY | BLUE CROSS BLUE SHIELD |
| 803853 | Other | NY | FIRSTHEALTH |
| 01105673 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Nassau Communities Hospital | Current | Accepting new patients | |
| Ny Foot & Ankle Specialist DPM PC | Past | Accepting new patients | |
| Pilip Medical Care | Past | Accepting new patients |
Locations
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
Interoperability endpoints
- nelsongiraldo@snch.allscriptsdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
-
- Foot & Ankle Surgery Podiatrist
- Brentwood, NY
- NPI 1851472419
-
- Internal Medicine Physician
- Bohemia, NY
- NPI 1063064632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1902996093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRENTWOOD RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-8007",
"fax_number": "631-665-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRENTWOOD RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-8007",
"fax_number": "631-665-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRALDO",
"first_name": "NELSON",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "175993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0025185",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "1180",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0488131",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142428",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C9490",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9657827",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P431628",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02F671",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH",
"identifier": "803853",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01105673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.