Individual provider Active NPI

Anahid J Nisanian, MD

  • Internal Medicine Physician
  • Sunnyside, NY
National Provider Identifier
1942386735
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230271 Issued in NY
Practice address
4330 48TH St
Sunnyside, NY 11104-1648
Phone
(718) 706-7658
Fax
(718) 706-1200
NPI assigned
Oct 27, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 230271 NY Primary

Addresses

Primary practice location

4330 48TH St
Sunnyside, NY 11104-1648

Mailing address

18 Avon Rd
Farmingdale, NY 11735-2003
Phone (917) 873-5894

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
I20041028000367 NY Practitioner - Internal Medicine 6406818889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

37 5TH Ave
Brooklyn, NY 11217-2025
Phone (718) 802-1110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230271NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anahid J. Nisanian MD PLLC Internal Medicine CurrentSince Aug 1, 2026 Accepting new patients
Prominis Medical Services PC Internal Medicine CurrentSince Feb 28, 2005 Accepting new patients

Locations

332 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 687-6161

37 5th Ave
Brooklyn, NY 11217
Phone (347) 987-3966

558 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 687-6161

6451 Central Ave
Glendale, NY 11385
Phone (718) 669-7635

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1942386735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 AVON RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352003",
            "telephone_number": "917-873-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 48TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041648",
            "telephone_number": "718-706-7658",
            "fax_number": "718-706-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISANIAN",
        "first_name": "ANAHID",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.