| Lidia Ani, | |
|
1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 | |
| (631) 828-7220 | |
| (631) 828-7899 |
| Full Name | Lidia Ani |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 1500 Route 112 Bldg 2c, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184289977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 337930 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 739 |
| Entity Name | Chs Physician Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407089345 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Lidia Ani, 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 Ph: (631) 828-7220 | Lidia Ani, 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 Ph: (631) 828-7220 |
Dr. Matthew Robert Wagner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776 Phone: 631-371-8034 Fax: 631-828-7899 |
Andrew J Dowd, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5360 Nesconset Hwy, Suite A, Port Jefferson Station, NY 11776 Phone: 631-331-3777 Fax: 631-331-1680 |