Active NPI
Anuradha Roy
- Registered Dietitian
- Glen Oaks, NY
National Provider Identifier
1376177840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 26611 Hillside Ave Apt 2
Glen Oaks, NY 11004-1747 - Phone
- (646) 645-0713
- NPI assigned
- Feb 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NY | Primary |
Addresses
Primary practice location
26611 Hillside Ave Apt 2
Glen Oaks, NY 11004-1747
Mailing address
26611 Hillside Ave Apt 2
Glen Oaks, NY 11004-1747
Phone (646) 645-0713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211105002046 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 5799174165 | Practice locations: Glen Oaks, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anhad Health Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
77 N Broadway
Hicksville, NY 11801
Phone (516) 605-0688
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1376177840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26611 HILLSIDE AVE APT 2",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041747",
"telephone_number": "646-645-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26611 HILLSIDE AVE APT 2",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041747",
"telephone_number": "646-645-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ANURADHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.