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NISHA BANSAL MD
NPI 1174707608
Obstetrics & Gynecology - Gynecologic Oncology in Staten Island, NY

Active since December 19, 2007PECOS Enrolled
256 MASON AVE, STATEN ISLAND, NY 10305(718) 226-6400(718) 226-6404 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nisha Bansal Md NPPES

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

NISHA BANSAL MD (NPI 1174707608) is an individual gynecologic oncology provider in Staten Island, New York, licensed in New York (238888) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174707608
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameNISHA BANSALCredential: MD
Location Address256 MASON AVEStaten Island, NY 10305-3408
Mailing Address256 Mason AveStaten Island, NY 10305-3408 · (718) 226-6400 · Fax (718) 226-6404
Phone(718) 226-6400
Fax(718) 226-6404
Sole ProprietorNo
Enumeration DateDecember 19, 2007
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1174707608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NY · 238888
Definition
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 238888 (NY)
256 MASON AVE, Staten Island, NY 10305
Open in Google Maps ↗

Other Identifiers 2

Medicare PINA400077242NY
Medicaid02938310NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nisha Bansal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nisha Bansal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
16 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Physician Affiliate Group Of New York PC
18 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LAURA POLITO PA-C
Physician Assistant (Surgical)
256 MASON AVE, BUILDING B- 2ND FLOOR
STATEN ISLAND, NY 10305
Richmond County (718) 226-1271
DR. ALFRED CULLIFORD MD
Surgery (Plastic and Reconstructive Surgery)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-1270
KATHLEEN DEL DUCA
Speech-Language Pathologist
256 MASON AVE, BUILDING C
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
MARIA DOMANTE RPA-C
Physician Assistant (Medical)
256 MASON AVE, BUILDING C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
STATEN ISLAND UNIVERSITY HOSPITAL
General Acute Care Hospital
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
MRS. LAURA FRANCES LONGO RN,NP
Nurse Practitioner (Family)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400
DR. CHARLES CHOY MD
Surgery
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6398
DR. MARY VESONIARAKI MD
Internal Medicine (Hematology & Oncology)
256 MASON AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6400

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 Nisha Bansal's NPI number?

The NPI number for Nisha Bansal is 1174707608. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Nisha Bansal located?

Nisha Bansal practices at 256 Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-6400.

What is Nisha Bansal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Nisha Bansal enrolled in Medicare?

Yes. Nisha Bansal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nisha Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Bansal reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Physician Affiliate Group Of New York PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nisha Bansal was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.