Individual provider Active NPI

Anita Kantilal Patel, M.D.

  • Pediatric Anesthesiology Physician
  • Long Island City, NY
National Provider Identifier
1972762664
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
258694 Issued in NY
Practice address
4615 Center Blvd
Apt 310
Long Island City, NY 11109-5738
Phone
(402) 578-6819
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 258694 NY Primary

Addresses

Primary practice location

4615 Center Blvd
Apt 310
Long Island City, NY 11109-5738

Mailing address

4615 Center Blvd
Apt 310
Long Island City, NY 11109-5738
Phone (402) 578-6819

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
I20110119000975 NY Practitioner - Anesthesiology 2567641822 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

2 Medical Park Dr
West Nyack, NY 10994-1965
Phone (201) 620-3010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Anesthesia LLC CurrentSince Feb 20, 2025 Accepting new patients
York Anesthesiologists PLLC CurrentSince Jul 1, 2022 Accepting new patients
Manhattan Endoscopy Center LLC CurrentSince Jan 10, 2022 Accepting new patients
Yorkville Endoscopy, LLC CurrentSince Jan 7, 2020 Accepting new patients
Liberty Endoscopy, LLC CurrentSince Apr 23, 2022 Accepting new patients
Westchester Anesthesiologists, P.C. PastSince Sep 7, 2009 Accepting new patients
Lakes Anesthesia Past Accepting new patients

Locations

535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

156 William St
Fl 4
New York, NY 10038
Phone (646) 215-2244

2 Medical Park Dr
West Nyack, NY 10994
Phone (201) 620-3010

Organizations & group practices 7

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1972762664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 CENTER BLVD",
            "address_2": "APT 310",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095738",
            "telephone_number": "402-578-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 CENTER BLVD",
            "address_2": "APT 310",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095738",
            "telephone_number": "402-578-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANITA",
        "middle_name": "KANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "258694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.