Angeliki Psimoulis, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

166874 Issued in NY

Practice address

30 82 36St
Astoria, NY 11103-4705

Phone

(718) 545-3070

Fax

(718) 956-5813

NPI assigned

Sep 20, 2006

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1760589659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 82 36ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034705",
            "telephone_number": "718-545-3070",
            "fax_number": "718-956-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 82 36ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034705",
            "telephone_number": "718-545-3070",
            "fax_number": "718-956-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIMOULIS",
        "first_name": "ANGELIKI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "166874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P481050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9514642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Prorok
• Nicole Provenzano, DDS
• Pierre Provilon, RPA
• PSCH, Inc.
• PSCH. Inc (Promoting Specialized Care & Health)
• Psychodynamic Solutions
• Evangelia Psyllos
• PT by Me PLLC
• Rubena Pugeda-Chan, MD
• Michael Torres Pulgo, PT

• Endocrinology, Diabetes & Metabolism Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.