Provider Demographics
NPI:1780635680
Name:NAGARSHETH, NIMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:NIMESH
Middle Name:
Last Name:NAGARSHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:2ND FLOOR BOX 1173
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-427-9898
Mailing Address - Fax:212-289-2733
Practice Address - Street 1:1190 5TH AVE
Practice Address - Street 2:RUTTENBERG TREATMENT CENTER 1ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-427-9898
Practice Address - Fax:212-289-2733
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220641-1207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2450522OtherUHC HMO,POS,PPO,EPO,INDEM
NY02523499Medicaid
NY1857401OtherCIGNA,HMO,PPO, INDEMNITY
NY7336595OtherAETNA, PPO,POS,EPO,INDEMN
NY0000087163OtherGHI, HMO
NY2450522OtherMSNYU HEALTH TOP TIER UHC
NY3C7555OtherHEALTHNET, PPO,POS,HMO
NYP3345214OtherOXFORD, FREEDOM, MEDICARE
NY3993656OtherAETNA, HMO
NY9747577OtherCBP,PPO,PREMIER PPO,FLEX
NY2450522OtherMSNYU HEALTH TOP TIER UHC
NYIQ71160Medicare UPIN
NY716C61Medicare ID - Type Unspecified