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

Dr. Michael Nissenbaum

Individual provider Neurology Physician · NPI 1912288218

Dr. Michael Nissenbaum is a Neurology in New Hyde Park, New York. Qualified in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3003 New Hyde Park Rd Ste 200
New Hyde Park, NY 11042-1206
Phone: (516) 488-1888
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 278830 (NY)

Record details

NPI number1912288218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2011
Last updated in NPPESOctober 5, 2016

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in New Hyde Park