Active NPI
Tushar V. Vani, M.D.
- Anesthesiology Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 178768
- Practice address
- 101 Hospital Rd
East Patchogue, NY 11772-4870 - Phone
- (631) 475-7680
- Fax
- (631) 475-7683
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 178768 | NY | Primary |
Addresses
Primary practice location
101 Hospital Rd
East Patchogue, NY 11772-4870
Mailing address
250 Patchogue Yaphank Rd
Suite 3
East Patchogue, NY 11772-4800
Phone (631) 475-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420777 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110202000109 | NY | Practitioner - Anesthesiology | 0840470258 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Brookhaven Anesthesia Associates, LLP | Anesthesiology | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
400 Endo Blvd
Garden City South, NY 11530
Phone (516) 470-2022
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
Anesthesiology, NY
-
- Anesthesiology Physician
- Patchogue, NY
- NPI 1164599965
Anesthesiology
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore - Lij Anesthesiology, PC
Practice addresses (Care Compare)
400 Endo Blvd
Garden City, NY 11530-6723
Phone (914) 666-8866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992891287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PATCHOGUE YAPHANK RD",
"address_2": "SUITE 3",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724800",
"telephone_number": "631-475-7680",
"fax_number": "631-475-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724870",
"telephone_number": "631-475-7680",
"fax_number": "631-475-7683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANI",
"first_name": "TUSHAR",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "178768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420777",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.