Individual provider Active NPI

Spyros Alexander Harisiadis, MD

  • Diagnostic Radiology Physician
  • Bedford Hills, NY
National Provider Identifier
1629019005
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
151565 Issued in NY
Practice address
52 Main Street
Bedford Hills, NY 10507
Phone
(914) 666-2220
Fax
(914) 666-2987
NPI assigned
Jun 9, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 151565 NY Primary

Addresses

Primary practice location

52 Main Street
Bedford Hills, NY 10507

Mailing address

52 Main Street
Bedford Hills, NY 10507
Phone (914) 666-2220

Other identifiers 1

IdentifierTypeStateIssuer
01919891MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince Jan 9, 2011 Accepting new patients
The Parkway Hospital Past Accepting new patients
Mercy Medical Center Diagnostic Radiology Past Accepting new patients
D.R. Rossi, M.D., P.C. Diagnostic Radiology Past Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology Past Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology PastSince Sep 1, 2015 Accepting new patients
Queens Medical Office, P.C. Past Accepting new patients

Locations

Dept 7067
Carol Stream, IL 60122

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1629019005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN STREET",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "10507",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MAIN STREET",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "10507",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARISIADIS",
        "first_name": "SPYROS",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "151565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01919891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.