Active NPI
Demetrios a Karides MD PC
- Neurology Physician
- Astoria, NY
National Provider Identifier
1497964951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 210635
- Legal business name
- DEMETRIOS A KARIDES MD PC
- Practice address
- 2309 31St St Ste 5
Astoria, NY 11105-2452 - Phone
- (718) 204-7821
- Fax
- (718) 204-7826
- NPI assigned
- May 22, 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
- Demetrios A Karides, M.D.
- Title
- Physician
- Phone
- (718) 204-7821
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 210635 | NY | Primary |
Addresses
Primary practice location
2309 31St St Ste 5
Astoria, NY 11105-2452
Mailing address
PO Box 5577
Astoria, NY 11105-5577
Phone (718) 204-7821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00125338 | Other | NY | MC RR |
| 02258088 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2309 31st St
Ste 5
Astoria, NY 11105
Phone (718) 204-7821
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Bayville, NY
- NPI 1891797502
-
- Specialist
- Cortlandt Manor, NY
- NPI 1467662452
-
- Vascular Neurology Physician
- Urbana, IL
- NPI 1699003418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1497964951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5577",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111055577",
"telephone_number": "718-204-7821",
"fax_number": "718-204-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 31ST ST STE 5",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052452",
"telephone_number": "718-204-7821",
"fax_number": "718-204-7826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMETRIOS A KARIDES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "KARIDES",
"authorized_official_first_name": "DEMETRIOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-204-7821",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "210635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RR",
"identifier": "P00125338",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02258088",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 28, 2015; 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.