Christos D. Dossa MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

193806 Issued in NY

Legal business name

CHRISTOS D. DOSSA MD PC

Practice address

2460 Hylan Blvd
Staten Island, NY 10306-3117

Phone

(718) 667-7927

Fax

(718) 667-7897

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christos D Dossa, M.D.NPI 1205815727

Title

Doctor

Phone

(718) 667-7927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Christos Dean Dossa, MD

  • Vascular Surgery Physician
  • Staten Island, NY
  • NPI 1205815727
  Medicare reassignment NPD Authorized official
• Lynn Hae Shin, M.D.

  • Vascular Surgery Physician
  • Montebello, CA
  • NPI 1346341591
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1386916963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063117",
            "telephone_number": "718-667-7927",
            "fax_number": "718-667-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063117",
            "telephone_number": "718-667-7927",
            "fax_number": "718-667-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS D. DOSSA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DOSSA",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-667-7927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "193806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Christian, FNP
• Shinny Christian, FNP
• Luanne Christiansen, M.S.P.T.
• Kenneth Christie, NURSE PRACTITIONER
• Christina Grenoble Mental Health Counseling PLLC (Christina Grenoble LMHC & Associates)
• William N Christy, MD
• Felisa Chruscicki Drayer, LCSW
• Christina Chrysostomou
• Anne Jing Chu, MD
• Hingwan Chu

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.