Nicholas Roditis, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

186545 Issued in NY

Practice address

2318 31St St
Astoria, NY 11105-2892

Phone

(718) 932-6000

Fax

(718) 932-3194

NPI assigned

Jun 20, 2005

Reactivated

Mar 27, 2006

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Male

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 1

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Metropolitan Gastroenterology, PCGroup PAC ID 6406833722, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Metropolitan Gastroenterology PC

  • Gastroenterology Physician
  • Astoria, NY
  • NPI 1528025756
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Anesthesia, P.C.

  • Anesthesiology Physician
  • Astoria, NY
  • NPI 1770654485
  Authorized official Same address or phone
• Somnia Medical, P.C.

  • Specialist
  • Astoria, NY
  • NPI 1053578815
  NPD (past) Authorized official
• BBB Health Resources LLC

  dba Privilege Care Medical Center

  • Clinic/Center
  • Elmhurst, NY
  • NPI 1750389581
  NPD (past)
• Booth Medical Associates PC

  • Hepatology Physician
  • Flushing, NY
  • NPI 1912996703

  Gastroenterology

  NPD (past)
• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584

  Gastroenterology

  NPD (past)
• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454

  Gastroenterology

  NPD (past)
• Broadway Cardiopulmonary, P.C.

  dba Western Queens Health Associates

  • Cardiovascular Disease Physician
  • Long Island City, NY
  • NPI 1871589200

  Gastroenterology

  NPD (past)
• For-Med Medical

  dba Astoria Medical Group

  • Legal Medicine
  • Long Island City, NY
  • NPI 1720194012
  NPD (past)
• Northside Medical Care LLP

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659493179
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1932104494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052892",
            "telephone_number": "718-932-6000",
            "fax_number": "718-932-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052892",
            "telephone_number": "718-932-6000",
            "fax_number": "718-932-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODITIS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-03-27",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "186545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01553662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Robinson-Mapp
• Alakay Robinson
• Stephanie H Rocha, LCSW
• Edzer Roche, RPA
• Courtney Rodgers, LCSW
• Vasilios Roditis, O.D.
• Marina Aris Rodopoulos, LPN
• Carlos Armando Rodriguez-Bonilla, MD
• Jennifer Melissa Rodriguez
• Kristina Rodriguez, LMSW

• Gastroenterology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.