| Gregory S Nishimura, MD | |
|
1420 Broadway, Hewlett, NY 11557-1352 | |
| (516) 374-8631 | |
| Not Available |
| Full Name | Gregory S Nishimura |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1420 Broadway, Hewlett, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881744795 | NPI | - | NPPES |
| 02153051 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 217807 (New York) | Primary |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619245610 PECOS PAC ID: 4082518006 Enrollment ID: O20040210000431 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | St Charles Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
| Entity Name | New York Bariatrics And Laparoscopy Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306998802 PECOS PAC ID: 2062466766 Enrollment ID: O20050305000037 |
| Entity Name | Long Island Minimally Invasive Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356545867 PECOS PAC ID: 1658541347 Enrollment ID: O20111007000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S Nishimura, MD 1420 Broadway, Hewlett, NY 11557-1352 Ph: () - | Gregory S Nishimura, MD 1420 Broadway, Hewlett, NY 11557-1352 Ph: (516) 374-8631 |
Dr. Sushilkumar R Samant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 172 Schenck Cir, Hewlett, NY 11557 Phone: 516-295-2134 | |
Robin Sung Yen Huang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1420 Broadway, Hewlett, NY 11557 Phone: 516-374-8631 Fax: 516-374-8656 | |
Dr. Rajeev Vohra, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1420 Broadway, Hewlett, NY 11557 Phone: 516-374-8670 Fax: 516-374-8675 |