Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NISHA MANOJ GHAYALOD, MD
Active Sole ProprietorNISHA MANOJ GHAYALOD, MD is a Addiction Medicine (Family Practice) healthcare provider located in SOUTHOLD, New York. NPI 1790361392 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SOUTHOLD, NY
Registration Details
- NPI Number
- 1790361392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2021 (5.4329758437428 yrs)
- Last Updated
- Nov 18, 2025
- License
-
1017323 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44360 COUNTY ROAD 48SOUTHOLD, NY, 119715033Browse NY providers · Browse ZIP 11971
- Phone
- 6317348742
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.