Anu Raj, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015784-1 Issued in NY

Practice address

175 Jericho Tpke Ste 213
Syosset, NY 11791-4501

Phone

(917) 670-8367

NPI assigned

Nov 26, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York Institute of TechnologyGroup PAC ID 3779496039, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: anu.raj@nyitahcc.eclinicaldirectplus.com

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.

• New York Institute of Technology

  dba Academic Health Care Center

  • Family Medicine Physician
  • Old Westbury, NY
  • NPI 1821048612
  Medicare reassignment Care Compare group NPD
• New York Institute of Technology

  dba Family Health Care Center

  • Family Medicine Physician
  • Central Islip, NY
  • NPI 1992738538
  NPD
• New York Institute of Technology

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1760003248
  NPD

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255512703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE STE 213",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914501",
            "telephone_number": "917-670-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE STE 213",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914501",
            "telephone_number": "917-670-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "ANU",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015784-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933686",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelique Lynn Quinones
• Naveera Saleha Qureshi, PA-C
• Radiological Diagnostic Imaging, P.C. (Long Island Diagnostic Imaging,P.C.)
• Raffi Barsoumian MD
• Sobia Rafiuddin, DDS
• Albert Raminfard, DO
• Gail Rance, SLP
• Randolph P Dilorenzo MD PC
• Ranjit S. Kadam M.D. P.C.
• Rapid Portable X-Ray Service Inc

• Clinical Psychologist in Syosset, NY
• Providers in Syosset, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.