Individual provider Active NPI

Marios Gerasimos Haritos, DPT

  • Physical Therapist
  • Whitestone, NY
National Provider Identifier
1043641970
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62 037127 Issued in NY
Practice address
2412 150TH St
Whitestone, NY 11357-3634
Phone
(718) 463-3222
Fax
(718) 888-9418
NPI assigned
Dec 3, 2013
Last updated
May 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 037127 NY Primary

Addresses

Primary practice location

2412 150TH St
Whitestone, NY 11357-3634

Mailing address

14428 34TH Ave
Flushing, NY 11354-3127
Phone (917) 578-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311000726 NY Practitioner - Physical Therapist in Private Practice 4183854227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14960 Willets Point Blvd
Whitestone, NY 11357-3618
Phone (718) 661-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62 037127NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MGH Physical Therapy PC CurrentSince Jun 1, 2017 Accepting new patients

Locations

14960 Willets Point Blvd
Whitestone, NY 11357
Phone (516) 746-3135

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1043641970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14428 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543127",
            "telephone_number": "917-578-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573634",
            "telephone_number": "718-463-3222",
            "fax_number": "718-888-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARITOS",
        "first_name": "MARIOS",
        "middle_name": "GERASIMOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 037127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.