Individual provider Active NPI

Taner A Aydin, MD

  • Psychiatry Physician
  • West Islip, NY
National Provider Identifier
1003479379
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
313530 Issued in NY
Practice address
500 Montauk Hwy Ste S
West Islip, NY 11795-4420
Phone
(631) 707-3780
Fax
(631) 203-2071
NPI assigned
Apr 22, 2019
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 313530 NY Primary

Addresses

Primary practice location

500 Montauk Hwy Ste S
West Islip, NY 11795-4420

Mailing address

500 Montauk Hwy Ste S
West Islip, NY 11795-4420
Phone (631) 707-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001055 NY Practitioner - Psychiatry 6709116817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Montauk Hwy
Suite S
West Islip, NY 11795-4420
Phone (631) 707-3780

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
313530NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Taner Aydin MD PLLC Psychiatry CurrentSince Mar 25, 2025 Accepting new patients

Locations

400 W Main St
Ste 109
Babylon, NY 11702
Phone (631) 707-3780

500 Montauk Hwy
Ste S
West Islip, NY 11795
Phone (631) 587-7733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1003479379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE S",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954420",
            "telephone_number": "631-707-3780",
            "fax_number": "631-203-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE S",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954420",
            "telephone_number": "631-707-3780",
            "fax_number": "631-203-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDIN",
        "first_name": "TANER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "313530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.