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

Nitasha Dhiman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407388036

Nitasha Dhiman is an Interventional Radiology in Port Jefferson, New York. Graduated from Virginia Tech Carilion School of Medicine in 2017, 9 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Trained at
Virginia Tech Carilion School of Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-1443
Fax: (631) 686-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 321419 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407388036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2017
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address101 Nicolls Rd, Graduate Medical Education, Hsc Level 4, Room 176, Stony Brook, NY 11794-0001

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolVIRGINIA TECH CARILION SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Jefferson