MICHAEL JAY NISSANOFF
NPI 1164362158
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since March 30, 2026
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Jay Nissanoff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JAY NISSANOFF (NPI 1164362158) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164362158
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL JAY NISSANOFF
Location Address27005 76TH AVENew Hyde Park, NY 11040-1496
Mailing Address1230 S Camden DrLos Angeles, CA 90035-1112
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
NPI 1164362158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
27005 76TH AVE, New Hyde Park, NY 11040

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Nissanoff's NPI number?

The NPI number for Michael Nissanoff is 1164362158. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Michael Nissanoff located?

Michael Nissanoff practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Michael Nissanoff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Nissanoff was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.