Organization Active NPI

Anu Sampat M.D. P.C.

  • Gastroenterology Physician
  • Staten Island, NY
National Provider Identifier
1356584353
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201639 Issued in NY
Legal business name
ANU SAMPAT M.D. P.C.
Practice address
4277 Richmond Ave
Staten Island, NY 10312-6241
Phone
(718) 227-1282
NPI assigned
Apr 7, 2009
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Anu Sampat, M.D.NPI 1437116076
Title
President
Phone
(718) 227-1282

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
Gastroenterology Physician 207RG0100X 201639 NY Primary

Addresses

Primary practice location

4277 Richmond Ave
Staten Island, NY 10312-6241

Mailing address

10 White Rock Ter
Holmdel, NJ 07733-1645
Phone (718) 227-1282

Other identifiers 1

IdentifierTypeStateIssuer
1437116076OtherNYNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anu.sampat@yahoo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090609000268 NY Part B Supplier - Clinic/Group Practice 5294885547 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

4982 Hylan Blvd
#2
Staten Island, NY 10312

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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1356584353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHITE ROCK TER",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331645",
            "telephone_number": "718-227-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126241",
            "telephone_number": "718-227-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU SAMPAT M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "SAMPAT",
        "authorized_official_first_name": "ANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-227-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "201639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437116076",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anu.sampat@yahoo.com",
            "affiliation": "N",
            "address_1": "4982 Hylan Blvd Fl 2",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103126399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.