NPIMap

Organization Active NPI

Dr Jesse Contovasilis MD PC

  • Psychiatry Physician
  • Huntington, NY
National Provider Identifier
1568878593
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
273271 Issued in NY
Legal business name
DR JESSE CONTOVASILIS MD PC
Practice address
755 Park Ave
Suite 140
Huntington, NY 11743-3975
Phone
(631) 357-0006
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Jesse Contovasilis, MDNPI 1801115423
Title
President
Phone
(631) 357-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 273271 NY Primary

Addresses

Primary practice location

755 Park Ave
Suite 140
Huntington, NY 11743-3975

Mailing address

32 Crescent Dr
Old Bethpage, NY 11804-1530
Phone (631) 357-0006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1568878593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CRESCENT DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041530",
            "telephone_number": "631-357-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVE",
            "address_2": "SUITE 140",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433975",
            "telephone_number": "631-357-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JESSE CONTOVASILIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CONTOVASILIS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-357-0006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "273271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.