Active NPI
John W Contovasilis, MD
- Internal Medicine Physician
- South Richmond Hill, NY
National Provider Identifier
1154374064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 182502
- Practice address
- 12506 101St Ave
South Richmond Hill, NY 11419-1412 - Phone
- (718) 849-2900
- Fax
- (718) 943-2631
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 182502 | NY | Primary |
Addresses
Primary practice location
12506 101St Ave
South Richmond Hill, NY 11419-1412
Mailing address
1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Long Island Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
| Qlimg Rochdale Village OB/GYN Office | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1154374064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ZECKENDORF BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302133",
"telephone_number": "516-542-6880",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12506 101ST AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191412",
"telephone_number": "718-849-2900",
"fax_number": "718-943-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTOVASILIS",
"first_name": "JOHN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "182502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.