Active NPI
Anisha R Kumar
- Otolaryngology/Facial Plastic Surgery Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 308442
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-0001 - Phone
- (631) 444-0580
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 308442 | NY | Primary |
| Otolaryngology Physician | 207Y00000X | 308442 | NY | |
| Otolaryngology Physician | 207Y00000X | 5969 | MD |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Stanford University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5969 | MD | MD | Otolaryngology Physician |
| 308442 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Otolaryngology | Current | Accepting new patients |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Otolaryngology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Past | Accepting new patients |
Locations
23 S Howell Ave
Ste F
Centereach, NY 11720
500 Commack Rd
Ste 102A
Commack, NY 11725
Phone (631) 638-0130
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
37 Research Way
Setauket, NY 11733
Phone (631) 444-4121
O Level 2
Rm 664
Stony Brook, NY 11794
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490
122 Maple Ave
Fl 9
White Plains, NY 10601
Phone (914) 849-3755
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- akumar1694675@nychhc.direct-ci.com
Organizations & group practices 11
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.
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
-
- Pediatrics Physician
- New York, NY
- NPI 1275802811
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
Otolaryngology
-
- Otolaryngology Physician
- New York, NY
- NPI 1538407176
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1306208673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "ANISHA",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "308442",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "308442",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "5969",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.