Active NPI
Sarita Khanijo, M.D
- Family Medicine Physician
- Central Islip, NY
National Provider Identifier
1265448682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 168955
- Practice address
- 45 W Suffolk Ave
Central Islip, NY 11722-2143 - Phone
- (631) 853-2710
- Fax
- (631) 853-3595
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 168955 | NY | Primary |
Addresses
Primary practice location
45 W Suffolk Ave
Central Islip, NY 11722-2143
Mailing address
275 Helm LN
Bay Shore, NY 11706-8118
Phone (631) 968-6368
Other names 1
- Dr. Sarita Vaid
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients | |
| Islandwide Medical PLLC | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- saritakhanijo@nslijmedgr.allscriptsdirect.net
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Methadone Clinic
- Smithtown, NY
- NPI 1649374851
-
- Clinic/Center
- Brentwood, NY
- NPI 1851321152
-
- Pulmonary Disease Physician
- Bay Shore, NY
- NPI 1124478987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265448682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 HELM LN",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068118",
"telephone_number": "631-968-6368",
"fax_number": "631-968-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W SUFFOLK AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222143",
"telephone_number": "631-853-2710",
"fax_number": "631-853-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANIJO",
"first_name": "SARITA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "168955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARITA",
"last_name": "VAID",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.