Individual provider Active NPI

Anamika Patni

  • Internal Medicine Physician
  • Baldwin, NY
National Provider Identifier
1912903154
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230750 Issued in NY
Practice address
865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338
Phone
(516) 569-1396
Fax
(516) 569-1397
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230750 NY Primary

Addresses

Primary practice location

865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338

Mailing address

P O Box 464
Merrick, NY 11566
Phone (516) 569-1396

Other identifiers 2

IdentifierTypeStateIssuer
P3067939OtherNYOXFORD
02523646MedicaidNY

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
I20040501000010 NY Practitioner - Internal Medicine 3870581713 Practice locations: Baldwin, NY; Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2280 Grand Ave
Suite 207a
Baldwin, NY 11510-3110
Phone (516) 569-1396

865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338
Phone (516) 569-1396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230750NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Hospital Past Accepting new patients
Michael a. Dibari , M.D. , P.C. Internal Medicine Past Accepting new patients

Networks

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

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1912903154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 464",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "11566",
            "telephone_number": "516-569-1396",
            "fax_number": "516-569-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MERRICK RD",
            "address_2": "SUITE 301",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103338",
            "telephone_number": "516-569-1396",
            "fax_number": "516-569-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNI",
        "first_name": "ANAMIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3067939",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.