Individual provider Active NPI

Aniqa Anwar, M.D.

  • Pediatrics Physician
  • Norwalk, CT
National Provider Identifier
1902240849
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
055022 Issued in CT
Practice address
40 Cross St
Norwalk, CT 06851-4647
Phone
(203) 229-2000
NPI assigned
Apr 22, 2013
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 055022 CT Primary

Addresses

Primary practice location

40 Cross St
Norwalk, CT 06851-4647

Mailing address

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 229-2000

Other identifiers 1

IdentifierTypeStateIssuer
008067036MedicaidCT

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
I20230615002954 NY Practitioner - Pediatric Medicine 5395103865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055022CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Jun 1, 2023 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jun 1, 2023 Accepting new patients

Locations

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

30 Ramland Rd
Orangeburg, NY 10962
Phone (845) 359-0010

30 Ramland Rd S
Ste 200A
Orangeburg, NY 10962
Phone (845) 359-0010

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (914) 366-0015

Networks

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

Interoperability endpoints

  • Direct secure messaging: aniqa.anwar.p1@direct.cwpw.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1902240849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-229-2000",
            "fax_number": "203-229-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROSS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-229-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "ANIQA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "055022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008067036",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.