Individual provider Active NPI

Azad K Anand, M.D., P.C., M.D.

  • Diagnostic Radiology Physician
  • East Setauket, NY
National Provider Identifier
1902838816
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
138079 Issued in NY
Practice address
23 Technology Dr
Long Island Diagnsotic Imaging
East Setauket, NY 11733-4075
Phone
(631) 689-7300
Fax
(631) 689-7321
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 138079 NY Primary

Addresses

Primary practice location

23 Technology Dr
Long Island Diagnsotic Imaging
East Setauket, NY 11733-4075

Mailing address

PO Box 63
Long Island Diagnostic Imaging
Syosset, NY 11791-0063
Phone (631) 689-7300

Other identifiers 9

IdentifierTypeStateIssuer
112983328OtherNYTAX ID
1194851931OtherNYSITE NPI NUMBER
1548396203OtherNYSITE NPI NUMBER
00571857MedicaidNY
1114189735OtherNYGROUP NPI NUMBER
1689700403OtherNYSITE NPI NUMBER
112797720OtherNYTAX ID
1982730784OtherNYSITE NPI NUMBER
113119124OtherNYTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138079NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nutan Anand, MD, PC Diagnostic Radiology Past Accepting new patients
Nutan Anand, MD, PC Diagnostic Radiology Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1902838816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "address_2": "LONG ISLAND DIAGNOSTIC IMAGING",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910063",
            "telephone_number": "631-689-7300",
            "fax_number": "631-689-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TECHNOLOGY DR",
            "address_2": "LONG ISLAND DIAGNSOTIC IMAGING",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334075",
            "telephone_number": "631-689-7300",
            "fax_number": "631-689-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND, M.D., P.C.",
        "first_name": "AZAD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "138079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "112983328",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE NPI NUMBER",
            "identifier": "1194851931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE NPI NUMBER",
            "identifier": "1548396203",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1114189735",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE NPI NUMBER",
            "identifier": "1689700403",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "112797720",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE NPI NUMBER",
            "identifier": "1982730784",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "113119124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2012; 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.