Individual provider Active NPI

Thrasyvoulos Ntonos, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801541479
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349208 Issued in NY
Practice address
55 E 73Rd St Apt GF
New York, NY 10021-3555
Phone
(917) 436-9654
NPI assigned
Feb 13, 2022
Last updated
Feb 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349208 NY Primary

Addresses

Primary practice location

55 E 73Rd St Apt GF
New York, NY 10021-3555

Mailing address

435 W 31St St Apt 42P
New York, NY 10001-4667

Other identifiers 1

IdentifierTypeStateIssuer
349208OtherNYLICENSE NUMBER

Other names 1

  • Akis Ntonos Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
349208NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1801541479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 31ST ST APT 42P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 73RD ST APT GF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213555",
            "telephone_number": "917-436-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTONOS",
        "first_name": "THRASYVOULOS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "349208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKIS",
            "last_name": "NTONOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 2022; 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.