Nutan Anand Physician PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

138079 Issued in NY

Legal business name

NUTAN ANAND PHYSICIAN PC

Practice address

205 Osborne Ave
Riverhead, NY 11901-3021

Phone

(631) 727-6025

Fax

(631) 727-6044

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Azad K Anand, MD

Title

President

Phone

(631) 689-7300

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Long Island Diagnostic Imaging Doing business as

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1114189735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910063",
            "telephone_number": "631-689-7300",
            "fax_number": "631-689-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OSBORNE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013021",
            "telephone_number": "631-727-6025",
            "fax_number": "631-727-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTAN ANAND PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "AZAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "138079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821124512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECOND SITE FDA",
            "identifier": "211029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548201353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1689700403",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902838816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPARTMENT OF HEALTH RADIATION CERTIFICATION",
            "identifier": "51014000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA #",
            "identifier": "120964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679609457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA NUMBER",
            "identifier": "167312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yelda Nouri, M.D.
• Jacqueline Nova, LMHC
• Nutan Anand, MD, PC
• Christine Marie O'Donoghue- Kitt, MD
• Brianne O'Malley
• Harim Irene Ok, DO
• Dhivya Olamana, PHARMD

• Diagnostic Radiology Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.