Individual provider Active NPI

Sarita Khanijo, M.D

  • Family Medicine Physician
  • Central Islip, NY
National Provider Identifier
1265448682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
168955 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000086 NY Practitioner - Family PracticePractitioner - Pathology 6507924164 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Sun River Health Inc. CurrentSince Jul 20, 2015 Accepting new patients
Sun River Health Inc Current Accepting new patients
County of Suffolk Past Accepting new patients
Islandwide Medical PLLC PastSince Jul 31, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.