Individual provider Active NPI

Anik Paul, DPM

  • Podiatrist
  • East Setauket, NY
National Provider Identifier
1558926089
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007270 Issued in NY
Practice address
6 Technology Dr
East Setauket, NY 11733-4079
Phone
(347) 484-6185
NPI assigned
May 9, 2019
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127002464 NY Practitioner - Podiatry 8921335571 Reassigns benefits to 2 organizations

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
St Charles Hospital CorpGroup PAC ID 6103733050, 62 clinicians

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

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue258
Removal of skin lesions35
Removal of nail tissue27
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007270NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Feb 1, 2023 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Feb 1, 2023 Accepting new patients
St Charles Hospital Corp CurrentSince Feb 1, 2023 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

  • Direct secure messaging: anikpaul@oali.ssdirect.aprima.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.