Active NPI
Harry T. Josifidis M.D.P.C.
- Specialist
- Astoria, NY
National Provider Identifier
1366571705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 166922
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01463616 | Medicaid | NY |
Other names 1
- Harry T.Josifidis M.D.P.C.
National Provider Directory
National Provider DirectoryLocations
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.