Organization Active NPI

Taner Aydin MD PLLC

  • Psychiatry Physician
  • West Islip, NY
National Provider Identifier
1861183816
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TANER AYDIN MD PLLC
Practice address
500 Montauk Hwy Ste S
West Islip, NY 11795-4420
Phone
(631) 707-3780
Fax
(631) 203-2071
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Taner Aydin, MDNPI 1003479379
Title
Authorized Official / Owner
Phone
(631) 252-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

500 Montauk Hwy Ste S
West Islip, NY 11795-4420

Mailing address

500 Montauk Hwy Ste S
West Islip, NY 11795-4420
Phone (631) 707-3780

Other identifiers 1

IdentifierTypeStateIssuer
313530OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507000466 NY Part B Supplier - Clinic/Group Practice 4789101437 Receives reassigned benefits from 1 practitioner
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1861183816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE S",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954420",
            "telephone_number": "631-707-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE S",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954420",
            "telephone_number": "631-707-3780",
            "fax_number": "631-203-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANER AYDIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "AYDIN",
        "authorized_official_first_name": "TANER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / OWNER",
        "authorized_official_telephone_number": "631-252-4421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "313530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.