Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Anjali Prakash

Individual provider Family Medicine Physician · NPI 1962296590

Anjali Prakash is registered under Family Practice in Long Island City, New York. Qualified in 2015, 11 years ago. Practices with Project Renewal Inc, a 9-clinician group, works from 15 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2025

Practice location Address checks out

36-11 21st St
Long Island City, NY 11106-4505
Phone: (718) 482-7772
Fax: (718) 482-9648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (14)

  • 1880 Bathgate Avenue, Bronx, NY 10457-4501 — (718) 294-5891
  • 1002 Westchester Avenue, Bronx, NY 10459-3204 — (718) 320-4466
  • 1167 Nostrand Ave, Brooklyn, NY 11225-5417 — (718) 778-0198
  • 999 Blake Ave, Brooklyn, NY 11208-3535 — (718) 277-8303
  • 2581 Atlantic Ave, Brooklyn, NY 11207-2412 — (718) 495-6700
  • 94-98 Manhattan Avenue, Brooklyn, NY 11206-2505 — (718) 388-0390
  • 97-02 Sutphin Blvd, Jamaica, NY 11435-9995 — (718) 657-7088
  • 89-44 164th Street, Jamaica, NY 11432-6103 — (718) 523-2123
  • 255 East Houston, New York, NY 10002-2301 — (212) 477-1120
  • 511 West 157th Street, New York, NY 10032-5058 — (212) 781-7979
  • 504 W 158th St Fl 5, New York, NY 10032-7202 — (917) 521-3130
  • 81 W 115th St, New York, NY 10026-3138 — (212) 426-0088
  • 200 Varick St Rm 900, New York, NY 10014-4893 — (212) 620-0340
  • 350 Grand St Rm 240, New York, NY 10002-4629 — (212) 634-7550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 335996 (NY)

Record details

NPI number1962296590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Project Renewal Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Project Renewal Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Long Island City