Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ani A Bodoutchian, MD

Individual provider Family Medicine Physician · NPI 1508807447

Dr. Ani A Bodoutchian, MD is a Family Practice in West Babylon, New York. Qualified in 1990, 36 years ago. Practices with Stony Brook Family and Preventive Medicine, University Faculty Practic, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

120 Route 109
West Babylon, NY 11704-6210
Phone: (631) 422-3636
Fax: (631) 422-2788
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210217 (NY)

Record details

NPI number1508807447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Stony Brook Family And Preventive Medicine, University Faculty Practic — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in West Babylon