Individual provider Active NPI

Fiorina Eirini Kyritsi, MD

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1679874622
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
290376 Issued in NY
Practice address
2510 30TH Ave
Astoria, NY 11102
Phone
(718) 932-1000
NPI assigned
Nov 8, 2010
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 290376 NY Primary

Addresses

Primary practice location

2510 30TH Ave
Astoria, NY 11102

Mailing address

2510 30TH Ave
Astoria, NY 11102-2418
Phone (718) 932-1000

Other practice location 1

10401 Grosvenor Pl
Apt# 1115
N Bethesda, MD 20852-4646
Phone (301) 814-8892

Other identifiers 1

IdentifierTypeStateIssuer
04884704MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130000152 NY Practitioner - Internal Medicine 5597022525 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290376NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Multi-Specialty CurrentSince Nov 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Sep 26, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 26, 2017 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Multi-Specialty CurrentSince Nov 1, 2020 Accepting new patients

Locations

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1679874622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022418",
            "telephone_number": "718-932-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "718-932-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Grosvenor Pl",
            "address_2": "Apt# 1115",
            "address_purpose": "LOCATION",
            "city": "N Bethesda",
            "state": "MD",
            "postal_code": "208524646",
            "country_code": "US",
            "telephone_number": "301-814-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYRITSI",
        "first_name": "FIORINA",
        "middle_name": "EIRINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04884704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.