Organization Active NPI

Arjun D. Aneja, M.D., LLC

  • Specialist
  • Ormond Beach, FL
National Provider Identifier
1285069559
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME66169 FL Primary

Addresses

Primary practice location

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

Mailing address

325 Clyde Morris Blvd
Suite 300
Ormond Beach, FL 32174-8179
Phone (386) 672-6356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022000349 FL Part B Supplier - Clinic/Group Practice 8729213103 Receives reassigned benefits from 3 practitioners
Practice locations: New Smyrna Beach, FL; Rockledge, FL; Port Orange, FL; Ormond Beach, FL; Melbourne, FL

National Provider Directory

National Provider Directory

Locations

2339 Medico Ln
Ste 105
Melbourne, FL 32940
Phone (321) 806-3310

5466 Village Dr
Unit C-1
Rockledge, FL 32955
Phone (321) 806-3310

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • 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.