Individual provider Active NPI

Anubhav Agarwal, MD

  • Sports Medicine (Family Medicine) Physician
  • Oceanside, NY
National Provider Identifier
1568709244
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
289489 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 632-3000
NPI assigned
Jan 15, 2013
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 289489 NY
Sports Medicine (Family Medicine) Physician 207QS0010X 289489 NY Primary

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

196 Merrick Rd
Oceanside, NY 11572-1420
Phone (516) 255-8414

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919000315 NY Practitioner - Family Practice 0042506735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

196 Merrick Rd
Oceanside, NY 11572-1420
Phone (516) 255-8400

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
289489NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Suffolk Medical, P.C. Multi-Specialty CurrentSince Dec 19, 2020 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Jamaica Hospital Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Divinity Medical Services PLLC Multi-Specialty CurrentSince Jan 6, 2025 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty Current Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2024 Accepting new patients
Southwest Suffolk Medical PC Multi-Specialty CurrentSince Dec 19, 2020 Accepting new patients
South Nassau Communities Hospital Current Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anubhavagarwal@snch.allscriptsdirect.net

Organizations & group practices 10

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 2

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1568709244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721420",
            "telephone_number": "516-255-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "ANUBHAV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289489",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "289489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.