Individual provider Active NPI

Alexander Sotiropoulos, MD

  • Urology Physician
  • New York, NY
National Provider Identifier
1497768717
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
125299 Issued in NY
Practice address
23 E 79TH St
New York, NY 10075-0182
Phone
(212) 737-4004
Fax
(212) 628-1802
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125299 NY Primary

Addresses

Primary practice location

23 E 79TH St
New York, NY 10075-0182

Mailing address

23 E 79TH St
New York, NY 10075-0182
Phone (212) 737-4004

Other identifiers 2

IdentifierTypeStateIssuer
00277358MedicaidNY
132906951OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125299NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry M. Schwartz, MD PC Urology CurrentSince Aug 23, 2010 Accepting new patients
Stanley Boczko, MD PC Urology PastSince Aug 23, 2010 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1497768717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750182",
            "telephone_number": "212-737-4004",
            "fax_number": "212-628-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750182",
            "telephone_number": "212-737-4004",
            "fax_number": "212-628-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIROPOULOS",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "125299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00277358",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "132906951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.