Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ishita Bansal

Individual provider Nephrology Physician · NPI 1265789846

Dr. Ishita Bansal is a Nephrology in Mineola, New York. Qualified in 2004, 22 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

200 Old Country Rd Ste 135
Mineola, NY 11501-4237
Phone: (516) 663-2169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7901 Broadway, Elmhurst, NY 11373 — (718) 334-4000

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 284014 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 284014 (NY)

Record details

NPI number1265789846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2012
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Mineola