Organization Active NPI

Ari Kostadaras MD. PC

  • Nephrology Physician
  • Astoria, NY
National Provider Identifier
1184402323
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ARI KOSTADARAS MD. PC
Practice address
30-16 30TH Drive 2ND Floor
Astoria, NY 11102-1874
Phone
(718) 721-4440
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Ari Kostadaras, RDNPI 1447285911
Title
President
Phone
(347) 403-6475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

30-16 30TH Drive 2ND Floor
Astoria, NY 11102-1874

Mailing address

25-10 38TH Street
Astoria, NY 11103-4224
Phone (347) 403-6475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1184402323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25-10 38TH STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034224",
            "telephone_number": "347-403-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-16 30TH DRIVE 2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-721-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARI KOSTADARAS MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "KOSTADARAS",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-403-6475",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.