Organization Active NPI

Arikostadaras,M.D.,P.C.

  • Specialist
  • Astoria, NY
National Provider Identifier
1679710115
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
189511 Issued in NY
Legal business name
ARIKOSTADARAS,M.D.,P.C.
Practice address
2318 31St St
Suite 220
Astoria, NY 11105-2892
Phone
(718) 721-4440
Fax
(718) 907-7932
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Ari Kostadaras, M.D.
Title
President
Phone
(718) 721-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 189511 NY Primary

Addresses

Primary practice location

2318 31St St
Suite 220
Astoria, NY 11105-2892

Mailing address

2510 38TH St
Astoria, NY 11103-4224
Phone (718) 721-4440

Other identifiers 2

IdentifierTypeStateIssuer
189511OtherNYLICENSE
01546501MedicaidNY

National Provider Directory

National Provider Directory

Locations

2318 31st St
#210
Astoria, NY 11105
Phone (718) 721-4440

2318 31st St
Ste 220
Astoria, NY 11105
Phone (718) 721-4440

Practitioners & affiliated clinicians

Practitioners 4

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1679710115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034224",
            "telephone_number": "718-721-4440",
            "fax_number": "718-907-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "address_2": "SUITE 220",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052892",
            "telephone_number": "718-721-4440",
            "fax_number": "718-907-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIKOSTADARAS,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KOSTADARAS",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-721-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "189511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "189511",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01546501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 2009; 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.