Active NPI
Edward a Athanasian MD PC
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1700484052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- EDWARD A ATHANASIAN MD PC
- Practice address
- 535 E 70TH St
New York, NY 10021-4823 - Phone
- (212) 606-1962
- Fax
- (212) 774-2880
- NPI assigned
- Oct 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward A Athanasian, MD
- Title
- President
- Phone
- (212) 606-1962
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
535 E 70TH St
New York, NY 10021-4823
Mailing address
535 E 70TH St
New York, NY 10021-4823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180932 | Other | NY | LIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GINA@MDCREDENTIALINGPLUS.COM |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- gina@mdcredentialingplus.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1740265727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1700484052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823",
"telephone_number": "212-606-1962",
"fax_number": "212-774-2880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD A ATHANASIAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "ATHANASIAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-606-1962",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "180932",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GINA@MDCREDENTIALINGPLUS.COM",
"affiliation": "N",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.