Organization Active NPI

Nutan Anand, MD, PC

Doing business as Long Island Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Riverhead, NY
National Provider Identifier
1548396203
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51021887 Issued in NY
Legal business name
NUTAN ANAND, MD, PC
Doing business as
Long Island Diagnostic Imaging
Practice address
205 Osborne Ave
Riverhead, NY 11901-3021
Phone
(631) 727-6025
Fax
(631) 727-6025
NPI assigned
Feb 26, 2007
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Lorie A Davidson
Title
Executive Director
Phone
(516) 364-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 51021887 NY Primary

Addresses

Primary practice location

205 Osborne Ave
Riverhead, NY 11901-3021

Mailing address

100 Lafayette Dr
Syosset, NY 11791-3934
Phone (516) 364-4600

Other identifiers 3

IdentifierTypeStateIssuer
51021887OtherNYNYSDOH CERTIFICATION
211029OtherNYFDA CERTIFICATION
1902838816OtherNYINDIVIDUAL NPI

Other names 1

  • Long Island Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long Island Diagnostic Imag2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1548396203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913934",
            "telephone_number": "516-364-4600",
            "fax_number": "516-364-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OSBORNE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013021",
            "telephone_number": "631-727-6025",
            "fax_number": "631-727-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTAN ANAND, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-364-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "51021887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSDOH CERTIFICATION",
            "identifier": "51021887",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA CERTIFICATION",
            "identifier": "211029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902838816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.