Individual provider Active NPI

Constantine Kosmas, M.D.

  • Cardiovascular Disease Physician
  • Astoria, NY
National Provider Identifier
1407855075
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
198677 Issued in NY
Practice address
30-16 30TH Drive
Astoria, NY 11102
Phone
(718) 545-2250
Fax
(718) 545-2252
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 198677 NY Primary

Addresses

Primary practice location

30-16 30TH Drive
Astoria, NY 11102

Mailing address

3074 31St St
5TH Floor
Astoria, NY 11102-1857
Phone (718) 808-7700

Other identifiers 1

IdentifierTypeStateIssuer
02089967MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000525 NY Practitioner - Cardiovascular Disease (Cardiology) 5395709588 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
198677NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Jan 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2014 Accepting new patients
Booth Medical Associates PC Cardiovascular Disease Past Accepting new patients
Mount Sinai School of Medicine Cardiovascular Disease Past Accepting new patients
Newyork-Presbyterian/Queens Cardiovascular Disease Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Cardiovascular Associates of New York, P.C. Cardiovascular Disease Past Accepting new patients

Locations

3825 Parsons Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 353-4100

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

3074 31st St
Fl 5
Long Island City, NY 11102
Phone (718) 225-6100

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

150 E 77th St
New York, NY 10075
Phone (212) 288-9922

5 E 98th St
#1272
New York, NY 10029
Phone (212) 241-3743

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1407855075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 31ST ST",
            "address_2": "5TH FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021857",
            "telephone_number": "718-808-7700",
            "fax_number": "718-808-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-16 30TH DRIVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "718-545-2250",
            "fax_number": "718-545-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMAS",
        "first_name": "CONSTANTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "198677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02089967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.