Active NPI
Ani Chouldjian-Baghdassarian, M.D.
- Psychiatry Physician
- Great Neck, NY
National Provider Identifier
1508059205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 245382
- Practice address
- 40 Middle Neck Rd
Suite a-3
Great Neck, NY 11021-2307 - Phone
- (516) 466-2082
- NPI assigned
- Aug 25, 2007
- Last updated
- Aug 25, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 245382 | NY | Primary |
Addresses
Primary practice location
40 Middle Neck Rd
Suite a-3
Great Neck, NY 11021-2307
Mailing address
15 Arleigh Rd
Great Neck, NY 11021-1324
Phone (516) 487-6273
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Long Island Home | Current | Accepting new patients | |
| The Long Island Home | Current | Accepting new patients |
Locations
400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000
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": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188000000000",
"number": "1508059205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ARLEIGH RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211324",
"telephone_number": "516-487-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MIDDLE NECK RD",
"address_2": "SUITE A-3",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212307",
"telephone_number": "516-466-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOULDJIAN-BAGHDASSARIAN",
"first_name": "ANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-25",
"last_updated": "2007-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "245382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.