Individual provider Active NPI

Anita Neogi Biswas, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Babylon, NY
National Provider Identifier
1316312911
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307575 Issued in NY
Practice address
421 Deer Park Ave
Babylon, NY 11702-2313
Phone
(631) 941-1000
Fax
(631) 941-2747
NPI assigned
Dec 8, 2015
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704286155 MI
Adult Health Nurse Practitioner 363LA2200X 307575 NY Primary
Primary Care Nurse Practitioner 363LP2300X 4704286155 MI

Addresses

Primary practice location

421 Deer Park Ave
Babylon, NY 11702-2313

Mailing address

421 Deer Park Ave
Babylon, NY 11702-2313
Phone (631) 941-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160314001877 MI Practitioner - Nurse Practitioner 4183920325 Reassigns benefits to 1 organization
I20180921000485 NY Practitioner - Nurse Practitioner 4183920325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704286155MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn L. Dragoo, OD PC PastSince Jun 12, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1316312911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022313",
            "telephone_number": "631-941-1000",
            "fax_number": "631-941-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022313",
            "telephone_number": "631-941-1000",
            "fax_number": "631-941-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "ANITA",
        "middle_name": "NEOGI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704286155",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307575",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704286155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.