Active NPI
Lidia Ani
- Adult Reconstructive Orthopaedic Surgery Physician
- Port Jefferson Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 337930
- Practice address
- 1500 Route 112 BLDG 2C
Port Jefferson Station, NY 11776-8055 - Phone
- (631) 828-7220
- Fax
- (631) 828-7899
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 337930 | NY | Primary |
Addresses
Primary practice location
1500 Route 112 BLDG 2C
Port Jefferson Station, NY 11776-8055
Mailing address
1500 Route 112 BLDG 2C
Port Jefferson Station, NY 11776-8055
Phone (631) 828-7220
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Village Ave
Rockville Center, NY 11570-1000
1500 Route 112
BLDG 2C
Port Jefferson Station, NY 11776-8055
Phone (631) 828-7220
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
500 Commack Rd
Commack, NY 11725-5009
Phone (631) 689-6698
800 Old Country Rd
Riverhead, NY 11901-2140
Phone (631) 837-2359
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
500 Commack Rd
Unit 150
Commack, NY 11725
Phone (631) 371-8034
1500 Route 112
Bldg 2C
Port Jefferson Station, NY 11776
Phone (631) 371-8034
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- lani184785@direct-chsli.net
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1184289977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROUTE 112 BLDG 2C",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768055",
"telephone_number": "631-828-7220",
"fax_number": "631-828-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROUTE 112 BLDG 2C",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768055",
"telephone_number": "631-828-7220",
"fax_number": "631-828-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANI",
"first_name": "LIDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "337930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.