NISHA BANSAL (NPI# 1174707608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707608 |
| Entity Type | Individual |
| Full Name | NISHA BANSAL |
| Credential | MD |
| Practice Address |
256 Mason Ave Staten Island NY 10305-3408 |
| Practice Telephone | 7182266400 |
| Practice Fax Number | 7182266404 |
| Mailing Telephone | 7182266400 |
| Mailing Fax Number | 7182266404 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 238888 | NY | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
238888 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02938310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801901210 | Nisha Bansal | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-08-19 |
| Street Address |
256 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313542 | Qun Dai | Internal Medicine | 256 Mason Ave, Staten Island, NY 10305-3408 | 2005-08-22 |
| 1215598487 | Amanda R Molloy | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2019-06-27 |
| 1588103188 | A Personal Touch Garment Corporation | Durable Medical Equipment & Medical Supplies | 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 | 2017-02-15 |
| 1043689524 | Kathleen Del Duca | Speech-Language Pathologist | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2015-09-15 |
| 1053658815 | Laura Frances Longo | Nurse Practitioner | 256 Mason Ave, Staten Island, NY 10305-3408 | 2013-01-13 |
| 1558655365 | Jessica L De Petro | Genetic Counselor, MS | 256 Mason Ave, Building B, 2nd Floor, Staten Island, NY 10305-3408 | 2011-06-09 |
| 1588965826 | Betty Marie Constant | Nurse Practitioner | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2010-11-03 |
| 1568772861 | Michelle Marie Vanpelt | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2010-10-20 |
| 1023342003 | Laura Polito | Physician Assistant | 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 | 2009-09-24 |
| 1588998850 | John Afthinos | Surgery | 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 | 2009-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596300 | Mitchell Maiman | Obstetrics & Gynecology | 265 Mason Ave, Staten Island, NY 10305-3417 | 2005-11-21 |
| 1104995356 | Eli Serur | Obstetrics & Gynecology | 475 Seaview Ave, 2nd Floor- Ob/gyn, Staten Island, NY 10305-3436 | 2006-11-06 |
| 1033225370 | David M Herzog Md PC | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363125 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 1240 Ulster Ave--gyn. Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1447803028 | Dib Sassine | Obstetrics & Gynecology | 1233 York Ave Apt 10q, New York, NY 10065-6342 | 2019-07-22 |
| 1578049417 | Derman Basaran | Obstetrics & Gynecology | 504 E 63rd St Apt 17l, New York, NY 10065-7920 | 2018-07-13 |
| 1740706415 | Benny Brandt | Obstetrics & Gynecology | 1233 York Ave Apt 11o, New York, NY 10065-6342 | 2017-08-15 |
| 1447666862 | Zeitoun Medical Pllc | Obstetrics & Gynecology | 139 E 23rd St Fl 2, New York, NY 10010-3788 | 2014-07-07 |
| 1912265315 | David Gal | Obstetrics & Gynecology | 515 E 79th St Apt 28a, New York, NY 10075-0781 | 2012-04-24 |
| 1184990384 | Deanna Gerber | Obstetrics & Gynecology | 22 Heritage Dr Apt B, New City, NY 10956-5350 | 2012-04-02 |
| 1497032106 | Eugenia Girda | Obstetrics & Gynecology | 1732 E 13th St, Brooklyn, NY 11229-1902 | 2011-11-08 |
| 1972895092 | Gregory Matthew Gressel | Obstetrics & Gynecology | 1695 Eastchester Rd Ste 600, Bronx, NY 10461 | 2011-05-08 |
| 1366760282 | Jovana Yanique Martin | Obstetrics & Gynecology | 319 S Manning Blvd Ste 301, Albany, NY 12208 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.