Active NPI
Anand D Nadkarni, M.D.
- Psychiatry Physician
- Bay Shore, NY
National Provider Identifier
1982779864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 163173
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163173 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
-
- Community/Behavioral Health Agency
- North Babylon, NY
- NPI 1588764401
-
- Addiction (Substance Use Disorder) Counselor
- Islip, NY
- NPI 1548369143
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.