Constantin C Anagnostopoulos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

121324 Issued in NY

Practice address

3014 31St Ave
Unit LL
Astoria, NY 11106-2405

Phone

(718) 545-4080

NPI assigned

Oct 3, 2006

Last updated

Apr 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Constantin C Anagnostopoulos MD PC

  • Internal Medicine Physician
  • Long Island City, NY
  • NPI 1578709556
  Medicare reassignment NPD Authorized official
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Queens Doctors

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1477932275
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Mount Sinai Hospital

  • General Acute Care Hospital
  • Long Island City, NY
  • NPI 1245248939
  NPD (past)
• Park Terrace Care Center Inc

  • Skilled Nursing Facility
  • Rego Park, NY
  • NPI 1326117045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1023103363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PEPPERMILL RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763105",
            "telephone_number": "718-545-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 31ST AVE",
            "address_2": "UNIT LL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-545-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGNOSTOPOULOS",
        "first_name": "CONSTANTIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "121324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00227394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amp Medical Diagnostics LLP
• Amr Nayel MD PC (Astoria Healthcare Associates)
• Hae Young An
• Ana C Balica D.D.S (Steinway Natural Dental)
• Eleni Anagnostakos
• Dominick J. Anastasio, M.D.
• Pamela Ancan, RN
• Darlene S Anderson, PHYSICIAN ASSISTANT
• Elizabeth Sayward Anderson
• Andre Farah DC PC (Astoria Chiropractic)

• Internal Medicine Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.