Nisha Manoj Ghayalod, MD
Nisha Manoj Ghayalod, MD is a Family Practice in Southold, New York. Qualified in 2021, 5 years ago. Practices with Stony Brook Family and Preventive Medicine, University Faculty Practic, a 43-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.
- Years since qualifying
- 5
- Licensed in
- MA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
44360 County Road 48Southold, NY 11971-5033
Phone: (631) 734-8742
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 905 E Main St, Riverhead, NY 11901-2613 — (934) 213-4035
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence 1017323 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790361392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | ADDICTION MEDICINE |
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Stony Brook Family And Preventive Medicine, University Faculty Practic — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |