NPIMap

Individual provider Active NPI

Anirban Kanjilal

  • Anesthesiology Physician
  • Jackson Heights, NY
National Provider Identifier
1134514375
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
285866 Issued in NY
Practice address
3731 73Rd St Apt 2R
Jackson Heights, NY 11372-6242
Phone
(917) 442-6312
NPI assigned
Apr 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 285866 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3731 73Rd St Apt 2R
Jackson Heights, NY 11372-6242

Mailing address

3731 73Rd St Apt 2R
Jackson Heights, NY 11372-6242
Phone (917) 442-6312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724003574 NY Practitioner - Anesthesiology 7113253444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York Downstate Medical Center, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Center for Digestive Health LLC CurrentSince Jul 6, 2020 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients
New York University Anesthesiology CurrentSince May 17, 2022 Accepting new patients
Sri Gastroenterology PC CurrentSince Mar 1, 2020 Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

901 Stewart Ave
Ste 260
Garden City, NY 11530
Phone (516) 222-2727

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

106 Charles Lindbergh Blvd
Uniondale, NY 11553
Phone (516) 248-3737

Interoperability endpoints

  • Direct secure messaging: akanjilal333634@nyumc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134514375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 73RD ST APT 2R",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726242",
            "telephone_number": "917-442-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 73RD ST APT 2R",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726242",
            "telephone_number": "917-442-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJILAL",
        "first_name": "ANIRBAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-04",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "285866",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.