Organization Active NPI

Select Medical PLLC

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1649895392
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SELECT MEDICAL PLLC
Practice address
3014 37TH St
Astoria, NY 11103-3809
Phone
(332) 900-1550
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Leonidas AraposNPI 1932340379
Title
Owner
Phone
(332) 900-1550

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3014 37TH St
Astoria, NY 11103-3809

Mailing address

3811 Ditmars Blvd # 474
Astoria, NY 11105-1803
Phone (917) 745-7269

Other names 1

  • SELECT PRIMARY CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL leoarapos@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914002408 NY Part B Supplier - Clinic/Group Practice 1456779040 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

2325 31st St
Fl 5
Astoria, NY 11105
Phone (718) 932-6300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1649895392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 DITMARS BLVD # 474",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051803",
            "telephone_number": "917-745-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 37TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033809",
            "telephone_number": "332-900-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ARAPOS",
        "authorized_official_first_name": "LEONIDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "332-900-1550"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leoarapos@gmail.com",
            "affiliation": "N",
            "address_1": "2325 31st St Fl 5",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111052299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SELECT PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.