Active NPI
Anik Paul, DPM
- Podiatrist
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 007270
- Practice address
- 6 Technology Dr
East Setauket, NY 11733-4079 - Phone
- (347) 484-6185
- NPI assigned
- May 9, 2019
- Last updated
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 007270 | NY | Primary |
Addresses
Primary practice location
6 Technology Dr
East Setauket, NY 11733-4079
Mailing address
6 Technology Dr
East Setauket, NY 11733-4079
Phone (631) 689-6698
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000
2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 689-6698
285 Sills Rd
BLDG 5 6
East Patchogue, NY 11772-4869
Phone (631) 475-2858
55 Medford Ave
Unit E
Patchogue, NY 11772-1229
Phone (631) 689-6698
6 Technology Dr
Suite 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
60 Fleets Point Dr
Suite 1
West Babylon, NY 11704-8314
Phone (631) 689-6698
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 258 |
| Removal of skin lesions | 35 |
| Removal of nail tissue | 27 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007270 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Precision SC, LLC | Past | Accepting new patients |
Locations
2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463
500 Commack Rd
Unit 150
Commack, NY 11725
Phone (631) 371-8034
28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
55 Medford Ave
Unit E
Patchogue, NY 11772
Phone (631) 687-4190
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
325 Meeting House Ln
Bldg 1
Southampton, NY 11968
Phone (631) 204-0202
60 Fleets Point Dr
Ste 1
West Babylon, NY 11704
Phone (631) 321-0033
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- anikpaul@oali.ssdirect.aprima.com
- apaul117186@direct-chsli.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
dba PrecisionCare Surgery Center
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1679108914
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1558926089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "347-484-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ANIK",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "007270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.