Athos C Anastasiades, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA02877100 Issued in NJ

Practice address

62 Ridge Rd
North Arlington, NJ 07031-6318

Phone

(201) 991-8565

Fax

(201) 991-2408

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1366483174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316318",
            "telephone_number": "201-991-8565",
            "fax_number": "201-991-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 RIDGE RD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316318",
            "telephone_number": "201-991-8565",
            "fax_number": "201-991-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIADES",
        "first_name": "ATHOS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02877100",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA02877100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0933503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "547283AYB",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gamal L Abdelhamid, DNP, APN, CPNP-PC
• Aim Physical Therapy, LLC
• Odalys Alarcon
• Ambulatory and Laser Foot Surgery Group
• Andrew S Lubas MD LLC
• Armand J Grasso, MD PA
• Elizabeth Cunha Attrino, LPC
• Ava Anthony LLC
• Tanna Jacqueline Avella

• All providers in North Arlington, NJ
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.