Organization Active NPI

Azad K. Anand, MD, PC

  • Diagnostic Radiology Physician
  • East Setauket, NY
National Provider Identifier
1689700403
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51020547 Issued in NY
Legal business name
AZAD K. ANAND, MD, PC
Doing business as
Long Island Diagnostic Imaging, PC
Practice address
23 Technology Dr
East Setauket, NY 11733-4075
Phone
(631) 689-7300
Fax
(631) 689-7321
NPI assigned
Feb 26, 2007
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 51020547 NY Primary

Addresses

Primary practice location

23 Technology Dr
East Setauket, NY 11733-4075

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
51020547OtherNYDOH CERTIFICATE OF REGIST
1902838816OtherNYINDIVIDUAL NPI
120964OtherNYFDA CERTIFICATION

Other names 1

  • Long Island Diagnostic Imaging, PC Doing business as

National Provider Directory

National Provider Directory

Locations

23 Technology Dr
East Setauket, NY 11733
Phone (631) 689-7300

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": "1689700403",
    "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": "516-364-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TECHNOLOGY DR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334075",
            "telephone_number": "631-689-7300",
            "fax_number": "631-689-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAD K. 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": "51020547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH CERTIFICATE OF REGIST",
            "identifier": "51020547",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902838816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA CERTIFICATION",
            "identifier": "120964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Diagnostic Imaging, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.