NISCHAL MEDICAL PROFESSIONAL CORPORATION
NPI 1346505658
Family Medicine in Mineola, NY

Active since July 12, 2012CLIA 33D2045626 · Waiver
172 HERRICKS RD, MINEOLA, NY 11501(516) 499-6963(516) 352-0740 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nischal Medical Professional Corporation NPPES

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

NISCHAL MEDICAL PROFESSIONAL CORPORATION (NPI 1346505658) is a healthcare organization registered as a family medicine in Mineola, New York and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Sanjeev Nischal, President, as its authorized official.

NPPES Registry Identity

NPI1346505658
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNISCHAL MEDICAL PROFESSIONAL CORPORATION
Location Address172 HERRICKS RDMineola, NY 11501-2206
Mailing Address1756 Aladdin AveNew Hyde Park, NY 11040-4012 · (516) 498-7838 · Fax (516) 352-0740
Fax(516) 352-0740
Organization SubpartNo
Authorized OfficialSanjeev NischalPresident · (516) 499-6963
Enumeration DateJuly 12, 2012
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1346505658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 239532
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
172 HERRICKS RD, Mineola, NY 11501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nischal Medical Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nischal Medical Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1790825594
608A JERICHO TPKE
New Hyde Park, NY 11040
(516) 499-6962
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1972609600
608A JERICHO TPKE
New Hyde Park, NY 11040
(516) 499-6963
✔ PECOS✔ Accepts Medicare1.9 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2045626

Nischal Medical Professional Corp · Mineola, NY
Active · expires Aug 16, 2028
CLIA Number33D2045626
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDr. Sanjeev Nischal
Laboratory Phone(516) 352-0740
Laboratory LocationNischal Medical Professional Corp172 Herricks Road, Mineola, NY 11501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Nischal Medical Professional Corporation's NPI number?

The NPI number for Nischal Medical Professional Corporation is 1346505658. It was assigned to this organization in the NPPES registry on July 12, 2012.

Where is Nischal Medical Professional Corporation located?

Nischal Medical Professional Corporation is located at 172 Herricks Rd, Mineola, NY 11501. The listed phone number is (516) 499-6963.

What is Nischal Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nischal Medical Professional Corporation enrolled in Medicare?

Yes. Nischal Medical Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nischal Medical Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Nischal Medical Professional Corporation. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nischal Medical Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2045626) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nischal Medical Professional Corporation was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.