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ANAM MOHIUDDIN
NPI 1457056178
Registered Nurse in Farmingville, NY

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
100 GRANNY RD, FARMINGVILLE, NY 11738(631) 696-4357(631) 997-0035 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anam Mohiuddin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANAM MOHIUDDIN (NPI 1457056178) is an individual registered nurse in Farmingville, New York, licensed in New York (781447-01) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457056178
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameANAM MOHIUDDIN
Location Address100 GRANNY RDFarmingville, NY 11738-2879
Mailing Address100 Granny RdFarmingville, NY 11738-2879 · Fax (631) 997-0035
Phone(631) 696-4357
Fax(631) 997-0035
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 3, 2023
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1457056178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses✔ Licensed in NY · 781447-01✔ Licensed in NJ · 26NR24784500
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
100 GRANNY RD, Farmingville, NY 11738
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anam Mohiuddin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163955212
PECOS Enrollment IDI20241028001532
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL CICCOTTO
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
MS. MARGARET M SHEEHAN NP
Nurse Practitioner (Adult Health)
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
JILLIAN LOCASCIO LPN
Licensed Practical Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
TROY JACKSON
Counselor (Addiction (Substance Use Disorder))
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
STEPHANIE DAMIAN
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
CATHY RANDOLPH NP
Nurse Practitioner (Psychiatric/Mental Health)
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 994-1075
CHRISTOPHER BAISLEY
Counselor (Addiction (Substance Use Disorder))
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357
MARISSA PLUSKALOWSKI MSW
Social Worker
100 GRANNY RD
FARMINGVILLE, NY 11738
Suffolk County (631) 696-4357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anam Mohiuddin's NPI number?

The NPI number for Anam Mohiuddin is 1457056178. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Anam Mohiuddin located?

Anam Mohiuddin practices at 100 Granny Rd, Farmingville, NY 11738. The listed phone number is (631) 696-4357.

What is Anam Mohiuddin's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Anam Mohiuddin enrolled in Medicare?

Yes. Anam Mohiuddin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anam Mohiuddin was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.