Organization Active NPI

Acutis Diagnostics Inc

  • Clinical Medical Laboratory
  • Hicksville, NY
National Provider Identifier
1932586427
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D2087537 Issued in NY
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31D2257243OtherNJCLIA

Other names 1

  • Acutis Diagnostics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2087537Acutis Diagnostics, Inc400 Karin Lane, Hicksville, NY 11801ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.