Vasos Eracleous, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

044085 Issued in NY

Practice address

2917 Astoria Blvd
Astoria, NY 11102-1741

Phone

(718) 728-5759

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Vasos Eracleous, DDS

  • Dental Clinic/Center
  • Astoria, NY
  • NPI 1760994347
  NPD (past) Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1508027699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235548",
            "telephone_number": "718-728-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021741",
            "telephone_number": "718-728-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERACLEOUS",
        "first_name": "VASOS",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "044085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire Womancare and Midwifery
• Danielle Encizo, M.S.E.D
• Energize Social Adult Day Care, LLC
• Andrea Eracleous
• Panayiota Eracleous
• Cristian D Erazo Villa, PA-C
• Emir Erkan, MLSW
• Eros Optiks
• Hermann Escobar, D.O.
• Manuel De Mesa Espino, PT

• Prosthodontics in Astoria, NY
• Providers in Astoria, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.