Active NPI
Acutis Diagnostics Inc
- Clinical Medical Laboratory
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 33D2087537
- Legal business name
- ACUTIS DIAGNOSTICS INC
- Practice address
- 400 Karin LN
Hicksville, NY 11801-5352 - Phone
- (844) 522-8847
- NPI assigned
- May 4, 2015
- Last updated
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wahid Sarij, MBA
- Title
- General Manager
- Phone
- (844) 522-8847
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 33D2087537 | NY | Primary |
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
400 Karin LN
Hicksville, NY 11801-5352
Mailing address
400 Karin LN
Hicksville, NY 11801-5352
Phone (844) 522-8847
Other practice location 1
68 Culver Rd
Monmouth Junction, NJ 08852-2818
Phone (844) 522-8847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D2257243 | Other | NJ | CLIA |
Other names 1
- Acutis Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160224000210 | NY | Part B Supplier - Independent Clinical Laboratory | 3375848716 | Practice locations: Hicksville, NY |
| O20220608000710 | NJ | Part B Supplier - Independent Clinical Laboratory | 3375848716 | Practice locations: Monmouth Junction, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2087537 | Acutis Diagnostics, Inc | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
68 Culver Rd
Ste 150B
Monmouth Junction, NJ 08852
Phone (844) 522-8847
728 Larkfield Rd
East Northport, NY 11731
Phone (516) 776-1340
222 Central Ave
Ste 202
Farmingdale, NY 11735
Phone (516) 417-8383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Laboratory Director (Non-physician)
- Westbury, NY
- NPI 1841568524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1932586427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KARIN LN",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015352",
"telephone_number": "844-522-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 KARIN LN",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015352",
"telephone_number": "844-522-8847"
}
],
"practiceLocations": [
{
"address_1": "68 Culver Rd",
"address_purpose": "LOCATION",
"city": "Monmouth Junction",
"state": "NJ",
"postal_code": "088522818",
"country_code": "US",
"telephone_number": "844-522-8847",
"fax_number": "631-532-1680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ACUTIS DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-04",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "SARIJ",
"authorized_official_first_name": "WAHID",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "844-522-8847",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "33D2087537",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "31D2257243",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Acutis Diagnostics",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Acutis Diagnostics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.