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Bella Shailesh Pathak, NP

Nurse Practitioner, Family in New York, NY. Individual provider (NPI-1).

NPI number1033985403
StatusActive
Last updated in NPPESNov 28, 2023

Details

NPI
1033985403
Entity type
Individual (NPI-1)
Name
Bella Shailesh Pathak
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 28, 2023
Certification date
Nov 10, 2023
Last updated
Nov 28, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family352203NYYes

Practice location

228 Park Ave S
New York, NY 10003-1502

Phone 917-362-5534

Mailing address

4850 37th St Apt 3k
Long Island City, NY 11101-1932

Phone 917-362-5534

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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