Active NPI
Nutan Anand, MD, PC
Doing business as Long Island Diagnostic Imaging
- Diagnostic Radiology Physician
- Riverhead, NY
National Provider Identifier
1548396203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 51021887
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51021887 | Other | NY | NYSDOH CERTIFICATION |
| 211029 | Other | NY | FDA CERTIFICATION |
| 1902838816 | Other | NY | INDIVIDUAL NPI |
Other names 1
- Long Island Diagnostic Imaging
National Provider Directory
National Provider Directory- Tax ID family
- Long Island Diagnostic Imag
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Long Island Diagnostic Imaging, PC
- Diagnostic Radiology Physician
- Syosset, NY
- NPI 1194851931
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.
-
- Diagnostic Radiology Physician
- East Setauket, NY
- NPI 1902838816
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
- Northeast Restorative Physical and Occupational Therapy Services, PLLC
- Northport Vamc
- Yelda Nouri, M.D.
- Jacqueline Nova, LMHC
- Nutan Anand Physician PC (Long Island Diagnostic Imaging)
- Christine Marie O'Donoghue- Kitt, MD
- Brianne O'Malley
- Harim Irene Ok, DO
- Dhivya Olamana, PHARMD
- Kevin Jake Torres Olis, PT
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.