Constantin C Anagnostopoulos MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

121324 Issued in NY

Legal business name

CONSTANTIN C ANAGNOSTOPOULOS MD PC

Practice address

30-14 31St Avenue
Long Island City, NY 11106-2405

Phone

(718) 545-4080

NPI assigned

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Constantin C Anagnostopoulos, M.D.NPI 1023103363

Title

Owner

Phone

(718) 545-4080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constantin C Anagnostopoulos, M.D.

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1023103363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1578709556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PEPPERMILL ROAD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763105",
            "telephone_number": "718-545-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-14 31ST AVENUE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-545-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTIN C ANAGNOSTOPOULOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "ANAGNOSTOPOULOS",
        "authorized_official_first_name": "CONSTANTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-545-4080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "121324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rezena Comrie, PMHNP
• James Cone, M.D.
• Charmin Conner
• Alexis Gabrielle Connolly, LCSW
• Constance Rocklein
• Melinda Anne Constantine, RN
• Jennifer Cook, LMSW
• Jessica Sarah Cook, LMT
• Salise Cecelia Cooke
• Martha Copello, MS, CCC-SLP

• Internal Medicine Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.

Verify at the official NPI Registry.