NISSAN SHLISELBERG MD
NPI 1720174212
Psychiatry & Neurology - Psychiatry in Kew Gardens, NY
About Nissan Shliselberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISSAN SHLISELBERG MD (NPI 1720174212) is an individual psychiatry provider in Kew Gardens, New York, licensed in New York (163429-2) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nissan Shliselberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Nissan Shliselberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forest Hills, NY 11375
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Jackson Heights, NY 11372
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
New York, NY 10002
- Reassigned Medicare billing, New York enrollment
- 56 clinicians in this Medicare group
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 11415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nissan Shliselberg's NPI number?
The NPI number for Nissan Shliselberg is 1720174212. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Nissan Shliselberg located?
Nissan Shliselberg practices at 12510 Queens Blvd Apt 915, Kew Gardens, NY 11415. The listed phone number is (917) 841-6034.
What is Nissan Shliselberg's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Nissan Shliselberg enrolled in Medicare?
Yes. Nissan Shliselberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nissan Shliselberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nissan Shliselberg reassigns Medicare benefits to 3 organizations: Arista Center For Psychotherapy Inc (Forest Hills, NY), Mental Health Providers Of Western Queens, Inc. (Jackson Heights, NY) and Community Assistance Resources & Extended Services Inc (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 Nissan Shliselberg'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 Nissan Shliselberg was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nissan Shliselberg, MD · NPI 1720174212
Psychiatry physician in Kew Gardens, New York. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1720174212 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 163429-2 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12510 QUEENS BLVD APT 915, Kew Gardens, NY 11415-1527
- **Phone:** (917) 841-6034
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arista Center For Psychotherapy Inc (NPI 1346317468, Forest Hills, NY); Mental Health Providers Of Western Queens, Inc. (NPI 1477699791, Jackson Heights, NY); Community Assistance Resources & Extended Services Inc (NPI 1396049987, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** January 31, 2022
- **Other identifiers:** Other 163429-A37 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720174212) · Data from the CMS NPPES public registry.