Active NPI
Anjali Prakash
- Family Medicine Physician
- New York, NY
National Provider Identifier
1962296590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 335996
- Practice address
- 200 Varick St RM 900
New York, NY 10014-4893 - Phone
- (212) 620-0340
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 335996 | NY | Primary |
Addresses
Primary practice location
200 Varick St RM 900
New York, NY 10014-4893
Mailing address
235 Grand St Apt 4305
Jersey City, NJ 07302-4794
Phone (610) 500-6226
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 E 3Rd St
New York, NY 10003-8908
Phone (212) 533-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335996 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Renewal Inc | Current | Accepting new patients | |
| Project Renewal Inc | Current | Accepting new patients |
Locations
200 Varick St
New York, NY 10014
Phone (212) 620-0340
200 Varick St
Fl 9
New York, NY 10014
Phone (212) 620-0340
200 Varick St
Rm 900
New York, NY 10014
Phone (212) 620-0340
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.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1598770018
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1821740275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1962296590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 GRAND ST APT 4305",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024794",
"telephone_number": "610-500-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VARICK ST RM 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144893",
"telephone_number": "212-620-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKASH",
"first_name": "ANJALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "335996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.