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NISSAN SHLISELBERG MD
NPI 1720174212
Psychiatry & Neurology - Psychiatry in Kew Gardens, NY

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
12510 QUEENS BLVD APT 915, KEW GARDENS, NY 11415(917) 841-6034 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1720174212
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNISSAN SHLISELBERGCredential: MD
Location Address12510 QUEENS BLVD APT 915Kew Gardens, NY 11415-1527
Mailing Address12510 Queens Blvd Apt 915Kew Gardens, NY 11415-1527 · (917) 841-6034
Phone(917) 841-6034
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1720174212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 163429-2
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12510 QUEENS BLVD APT 915, Kew Gardens, NY 11415
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Other Identifiers 1

Other163429-A37NY · Healthfirst

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID446206585
PECOS Enrollment IDI20050322001072
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.

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.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.