NUTAN ANAND PHYSICIAN PC NPI 1114189735

NPI Information

NPI: 1114189735
Provider Name: NUTAN ANAND PHYSICIAN PC

Doing Business As: LONG ISLAND DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
205 OSBORNE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 727-6025
Get Directions

NUTAN ANAND PHYSICIAN PC is a diagnostic radiology radiology in Riverhead, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUTAN ANAND PHYSICIAN PC NPI is 1114189735. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Long Island Diagnostic Imaging.

The provider's business location address is:

205 OSBORNE AVE
RIVERHEAD, NY
ZIP 11901-021
Phone: (631) 727-6025
Fax: (631) 727-6044

The provider's authorized official is Azad K Anand .
The authorized official title is President and has the following contact phone number (631) 689-7300.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 4/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	138079	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46A403	MEDICARE PIN	NEW YORK
2	B80409	MEDICARE UPIN	NEW YORK
3	1548201353	OTHER	NEW YORK	INDIVIDUAL NPI
4	1689700403	OTHER	NEW YORK	NPI #
5	1821124512	OTHER	NEW YORK	INDIVIDUAL NPI
6	1679609457	OTHER	NEW YORK	INDIVIDUAL NPI
7	1902838816	OTHER	NEW YORK	INDIVIDUAL NPI
8	211029	OTHER	NEW YORK	SECOND SITE FDA
9	51014000	OTHER	NEW YORK	NYS DEPARTMENT OF HEALTH RADIATION CERTIFICATION
10	00571857	MEDICAID	NEW YORK
11	46A401	MEDICARE PIN	NEW YORK
12	113119124	OTHER	NEW YORK	TAX ID NUMBER
13	120964	OTHER	NEW YORK	FDA #
14	167312	OTHER	NEW YORK	FDA NUMBER
15	46A402	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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