Individual provider Active NPI

Sanjeev Nischal, M.D.,DABFM

  • Family Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1972609600
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
239532 Issued in NY
Practice address
608A Jericho Tpke
New Hyde Park, NY 11040-4512
Phone
(516) 499-6963
Fax
(516) 352-0740
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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 239532 NY Primary

Addresses

Primary practice location

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

Mailing address

608A Jericho Tpke
New Hyde Park, NY 11040-4512
Phone (516) 499-6963

Other identifiers 1

IdentifierTypeStateIssuer
02810979MedicaidNY

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
I20080205000365 NY Practitioner - Family Practice 9234211822 Reassigns benefits to 2 organizations

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 12, 2021 Accepting new patients
Wyckoff Emergency Medicine Services, P.C. PastSince Jun 1, 1999 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

Interoperability endpoints

  • Direct secure messaging: snischal307531@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1972609600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608A JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404512",
            "telephone_number": "516-499-6963",
            "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": "516-499-6963",
            "fax_number": "516-352-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISCHAL",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.,DABFM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02810979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.