O. Goussis M.D. PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

144663 Issued in NY

Legal business name

O. GOUSSIS M.D. PC

Practice address

1010 Northern Blvd Ste 100
Great Neck, NY 11021-5306

Phone

(516) 773-6301

Fax

(516) 773-6120

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Frixos O Goussis, M.D.

Title

MD

Phone

(516) 773-6301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Onoufrios Goussis, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Glen Head, NY
  • NPI 1174609952
  Medicare reassignment NPD

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1851601728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215306",
            "telephone_number": "516-773-6301",
            "fax_number": "516-773-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215306",
            "telephone_number": "516-773-6301",
            "fax_number": "516-773-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. GOUSSIS M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "GOUSSIS",
        "authorized_official_first_name": "FRIXOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-773-6301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "144663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corinne O'Connell, M.S.
• Gillian O'Connell
• Lindsay O'Connell, LAC
• Siobhan O'Donnell, OTR/L
• Renee O'Toole, MD

• Endocrinology, Diabetes & Metabolism Physician in Great Neck, NY
• Providers in Great Neck, 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 Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.