Active NPI
Vasiliki Samios-Lagudis, DPM
- Podiatrist
- Bayside, NY
National Provider Identifier
1669572392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 65-005622
- Practice address
- 4402 Francis Lewis Blvd
Suite 2a
Bayside, NY 11361-3041 - Phone
- (718) 225-8200
- Fax
- (718) 225-8203
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 65-005622 | NY | Primary |
Addresses
Primary practice location
4402 Francis Lewis Blvd
Suite 2a
Bayside, NY 11361-3041
Mailing address
4402 Francis Lewis Blvd
Suite 2a
Bayside, NY 11361-3041
Phone (718) 225-8200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65-005622 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1669572392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 FRANCIS LEWIS BLVD",
"address_2": "SUITE 2A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613041",
"telephone_number": "718-225-8200",
"fax_number": "718-225-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 FRANCIS LEWIS BLVD",
"address_2": "SUITE 2A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613041",
"telephone_number": "718-225-8200",
"fax_number": "718-225-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIOS-LAGUDIS",
"first_name": "VASILIKI",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "65-005622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.