Organization Active NPI

Paul C Ladopoulos MD PC

  • Psychiatry Physician
  • Astoria, NY
National Provider Identifier
1356626956
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172226 Issued in NY
Legal business name
PAUL C LADOPOULOS MD PC
Practice address
3033 36TH St
Astoria, NY 11103-4704
Phone
(718) 274-6636
Fax
(718) 274-9080
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Paul C Ladopoulos, M.D.NPI 1548286719
Title
PC
Phone
(718) 274-6636

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 172226 NY Primary

Addresses

Primary practice location

3033 36TH St
Astoria, NY 11103-4704

Mailing address

30-33 36TH Street
Astoria, NY 11103-4704
Phone (718) 274-6636

National Provider Directory

National Provider Directory
Tax ID family
Paul C Ladopoulos MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3033 36th St
Long Island City, NY 11103
Phone (718) 274-6636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1356626956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-33 36TH STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034704",
            "telephone_number": "718-274-6636",
            "fax_number": "718-274-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034704",
            "telephone_number": "718-274-6636",
            "fax_number": "718-274-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C LADOPOULOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "LADOPOULOS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "718-274-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "172226",
            "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 Oct 14, 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.

Verify at the official NPI Registry.