Individual provider Active NPI

Anand D Nadkarni, M.D.

  • Psychiatry Physician
  • Bay Shore, NY
National Provider Identifier
1982779864
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
163173 Issued in NY
Practice address
1444 5TH Ave
Bay Shore, NY 11706-4147
Phone
(631) 647-3100
NPI assigned
Nov 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 163173 NY Primary

Addresses

Primary practice location

1444 5TH Ave
Bay Shore, NY 11706-4147

Mailing address

281 Phelps LN
North Babylon, NY 11703-4005
Phone (631) 422-7676

Other practice location 1

281 Phelps Ln
North Babylon, NY 11703-4005
Phone (631) 422-7676

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
I20050827000106 NY Practitioner - Psychiatry 0446281646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163173NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Nov 14, 2015 Accepting new patients
Town of Islip Past Accepting new patients
Town of Babylon - Division of Drug and Alcohol Services Past Accepting new patients

Locations

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982779864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 PHELPS LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034005",
            "telephone_number": "631-422-7676",
            "fax_number": "631-422-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064147",
            "telephone_number": "631-647-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Phelps Ln",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117034005",
            "country_code": "US",
            "telephone_number": "631-422-7676",
            "fax_number": "631-422-7609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADKARNI",
        "first_name": "ANAND",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.