Individual provider Active NPI

Harry T Josifidis

  • Urology Physician
  • Long Island City, NY
National Provider Identifier
1972665206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
166922 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01463616MedicaidNY
172919OtherNYWELLCARE
N52982OtherNYOXFORD
HJ076D4710OtherNYB 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
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.

Verify at the official NPI Registry.