Organization Active NPI

Metropolitan Cardiovascular Care PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1578820411
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2466361 Issued in NY
Legal business name
METROPOLITAN CARDIOVASCULAR CARE PC
Practice address
155 Powers St
Brooklyn, NY 11211-4973
Phone
(718) 278-7376
Fax
(718) 865-9192
NPI assigned
Apr 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Ioannis Stathopoulos, MDNPI 1578586533
Title
MD
Phone
(718) 278-7376

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2466361 NY Primary

Addresses

Primary practice location

155 Powers St
Brooklyn, NY 11211-4973

Mailing address

3010 38TH St FL 2
Astoria, NY 11103-3804
Phone (718) 278-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000134 NY Part B Supplier - Clinic/Group Practice 0648434993 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Yonkers, NY; Brooklyn, NY; Astoria, NY

National Provider Directory

National Provider Directory

Locations

2928 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-1620

3010 38th St
Fl 2
Long Island City, NY 11103
Phone (718) 278-7376

1421 3rd Ave
Apt 6
New York, NY 10028
Phone (212) 628-3338

1041 3rd Ave
Fl 6
New York, NY 10065
Phone (718) 278-7376

Practitioners & affiliated clinicians

Practitioners 3

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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1578820411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 38TH ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033804",
            "telephone_number": "718-278-7376",
            "fax_number": "718-865-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POWERS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114973",
            "telephone_number": "718-278-7376",
            "fax_number": "718-865-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARDIOVASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "STATHOPOULOS",
        "authorized_official_first_name": "IOANNIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-278-7376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2466361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.