Individual provider Active NPI

Juliana Kanji, MD

  • Psychiatry Physician
  • Huntington Station, NY
National Provider Identifier
1053481622
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172087 Issued in NY
Practice address
64 11TH Ave
Huntington Station, NY 11746-2226
Phone
(929) 491-9962
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 172087 NY Primary

Addresses

Primary practice location

64 11TH Ave
Huntington Station, NY 11746-2226

Mailing address

64 11TH Ave
Huntington Station, NY 11746-2226
Phone (929) 491-9962

Other identifiers 1

IdentifierTypeStateIssuer
01393099MedicaidNY

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
I20050226000034 NY Practitioner - Psychiatry 9335192608 Reassigns benefits to 1 organization
Practice locations: Huntington Station, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Walt Whitman Rd
Suite 207
Huntington Station, NY 11746-4178
Phone (631) 470-4005

Merit-based Incentive Payment System (MIPS)

Final score
68.67 of 100Reported as individual
Quality
33.29
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172087NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juliana Kanji Psychiatric Services Psychiatry PastSince Jan 21, 2010 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1053481622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 11TH AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462226",
            "telephone_number": "929-491-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 11TH AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462226",
            "telephone_number": "929-491-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJI",
        "first_name": "JULIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "172087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01393099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.