Organization Active NPI

Harry T. Josifidis M.D.P.C.

  • Specialist
  • Astoria, NY
National Provider Identifier
1366571705
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
166922 Issued in NY
Legal business name
HARRY T. JOSIFIDIS M.D.P.C.
Practice address
2747 Crescent St
Suite 206
Astoria, NY 11102-3142
Phone
(718) 728-5529
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Harry T. Josifidis, M.D.
Title
Medical Doctor
Phone
(718) 728-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 166922 NY Primary

Addresses

Primary practice location

2747 Crescent St
Suite 206
Astoria, NY 11102-3142

Mailing address

2747 Crescent St
Suite 206
Astoria, NY 11102-3142
Phone (718) 728-5529

Other identifiers 1

IdentifierTypeStateIssuer
01463616MedicaidNY

Other names 1

  • Harry T.Josifidis M.D.P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

2747 Crescent St
#206
Long Island City, NY 11102
Phone (718) 204-1100

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1366571705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 206",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-728-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 206",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-728-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY T. JOSIFIDIS M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "JOSIFIDIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-728-5529",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "166922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry T.Josifidis M.D.P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 29, 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.