Organization Active NPI

Aristotelis Sakellaridis, MD, PC

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1962766709
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183829-1 Issued in NY
Legal business name
ARISTOTELIS SAKELLARIDIS, MD, PC
Practice address
400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500
Phone
(516) 935-1312
Fax
(516) 935-9405
NPI assigned
Jun 26, 2012
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Aristotelis V Sakellaridis, MDNPI 1194784421
Title
Owner
Phone
(516) 935-1312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183829-1 NY Primary

Addresses

Primary practice location

400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500

Mailing address

400 S Oyster Bay Rd
Suite 205
Hicksville, NY 11801-3500
Phone (516) 935-1312

Other practice location 1

3344 Bell Blvd
Bayside, NY 11361-1738
Phone (718) 229-3344

Other identifiers 1

IdentifierTypeStateIssuer
03551493MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120815000674 NY Part B Supplier - Clinic/Group Practice 7012163553 Receives reassigned benefits from 2 practitioners
Practice locations: Hicksville, NY; Bayside, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0160059Aristotelis Sakellaridis, MD PC400 South Oyster Bay Road, Suite 205, Hicksville, NY 11801Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

400 S Oyster Bay Rd
Ste 205
Hicksville, NY 11801
Phone (516) 433-5396

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1962766709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 205",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-935-1312",
            "fax_number": "516-935-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 205",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-935-1312",
            "fax_number": "516-935-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3344 Bell Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113611738",
            "country_code": "US",
            "telephone_number": "718-229-3344",
            "fax_number": "718-224-9527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARISTOTELIS SAKELLARIDIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "SAKELLARIDIS",
        "authorized_official_first_name": "ARISTOTELIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-935-1312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183829-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03551493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.