Arjun D. Aneja, M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME66169 Issued in FL

Legal business name

ARJUN D. ANEJA, M.D., LLC

Practice address

325 Clyde Morris Blvd
Suite 300
Ormond Beach, FL 32174-8179

Phone

(386) 672-6356

Fax

(386) 672-6366

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Arjun Dev Aneja, M.D.NPI 1972690444

Title

Physican

Phone

(386) 672-6356

Specialties & licenses 1

Addresses

Other identifiers 16

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arjun D Aneja, M.D.

  • Pulmonary Disease Physician
  • Ormond Beach, FL
  • NPI 1972690444

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Deepika Aneja, M.D.

  • Pulmonary Disease Physician
  • Rockledge, FL
  • NPI 1083888135
  Medicare reassignment Care Compare group NPD
• Sarah Ellen Thomas, FNP-C

  • Family Nurse Practitioner
  • Rockledge, FL
  • NPI 1841264058
  Medicare reassignment Care Compare group NPD
• Sidney Celine Moore, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Port Orange, FL
  • NPI 1194699199
  NPD
• Sukhender R Singireddy, M.D.

  • Diagnostic Radiology Physician
  • Port Orange, FL
  • NPI 1013973882
  NPD
• Jenna E McMillan, APRN

  • Family Nurse Practitioner
  • Rockledge, FL
  • NPI 1760283436
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1285069559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 300",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-672-6356",
            "fax_number": "386-672-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE 300",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-672-6356",
            "fax_number": "386-672-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARJUN D. ANEJA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "ANEJA",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_middle_name": "DEV",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "386-672-6356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME66169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262303000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "27847",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "27847B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHS",
            "identifier": "57596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICAID",
            "identifier": "754916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2670748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "7688715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "335095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTHCARE",
            "identifier": "10800101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PREFFERED CARE",
            "identifier": "144681CB",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "195034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "F931626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "010168099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUNSHINE STATE",
            "identifier": "174028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7927305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.