Individual provider Active NPI

Paraskevas Stefanides, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bayside, NY
National Provider Identifier
1871750307
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
249030 Issued in NY
Practice address
22215 Northern Blvd Ste la
Bayside, NY 11361-3678
Phone
(718) 989-8515
Fax
(718) 626-0102
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 249030 NY Primary

Addresses

Primary practice location

22215 Northern Blvd Ste la
Bayside, NY 11361-3678

Mailing address

100 Brompton Rd
Garden City, NY 11530-2704
Phone (718) 989-8515

Other practice location 1

3074 31st St Ste 2
Astoria, NY 11102-2073
Phone (718) 989-8515 ext. 3

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neofitos Stefanides M.D., P.C. PastSince Mar 11, 2025 Accepting new patients
Pinnacle Physical Medicine and Rehabilitation, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1871750307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROMPTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302704",
            "telephone_number": "718-989-8515",
            "fax_number": "718-626-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 NORTHERN BLVD STE LA",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613678",
            "telephone_number": "718-989-8515",
            "fax_number": "718-626-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 31st St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022073",
            "country_code": "US",
            "telephone_number": "718-989-8515 x3",
            "fax_number": "718-626-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANIDES",
        "first_name": "PARASKEVAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "249030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.