Active NPI
Harry T Josifidis
- Urology Physician
- Long Island City, NY
National Provider Identifier
1972665206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 166922
- Practice address
- 27 47 Crescent Street
Suite 206
Long Island City, NY 11102 - Phone
- (718) 728-5529
- Fax
- (718) 728-5586
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 166922 | NY | Primary |
Addresses
Primary practice location
27 47 Crescent Street
Suite 206
Long Island City, NY 11102
Mailing address
27 47 Crescent Street
Suite 206
Long Island City, NY 11102
Phone (718) 728-5529
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01463616 | Medicaid | NY | |
| 172919 | Other | NY | WELLCARE |
| N52982 | Other | NY | OXFORD |
| HJ076D4710 | Other | NY | B CROSS |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972665206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 47 CRESCENT STREET",
"address_2": "SUITE 206",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-728-5529",
"fax_number": "718-728-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 47 CRESCENT STREET",
"address_2": "SUITE 206",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-728-5529",
"fax_number": "718-728-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSIFIDIS",
"first_name": "HARRY",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "166922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01463616",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "172919",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "N52982",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B CROSS",
"identifier": "HJ076D4710",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.