GAGOS CARDIOVASCULAR MEDICINE PLLC (NPI# 1568089902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568089902 |
| Entity Type | Organization |
| Organization Name | GAGOS CARDIOVASCULAR MEDICINE PLLC |
| Practice Address |
2747 Crescent St Ste 104 Astoria NY 11102-3142 |
| Mailing Address |
95 Broadhollow Rd Ste 101 Melville NY 11747-2507 |
| Practice Telephone | 6312719151 |
| Practice Fax Number | 6312719155 |
| Mailing Telephone | 6312719151 |
| Mailing Fax Number | 6312719155 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-09-07 |
| Authorized Official Name | MARIOS D GAGOS (OWNER) |
| Authorized Official Telephone | 6312719151 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4401 Newtown Rd, Astoria, NY 111033188 | 6312719151 | 6312719155 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GAGOS CARDIOVASCULAR MEDICINE PLLC | 27-47 Crescent Street, Suite 104, Astoria, New York 11102 |
| Street Address |
2747 CRESCENT ST STE 104 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518060862 | Jimmy Katechis | Internal Medicine | 2747 Crescent St Ste 104, Astoria, NY 11102-3142 | 2006-09-05 |
| 1700942406 | Up To Date Medical Healthcare Pllc | Clinic/Center | 2747 Crescent St Ste 104, Astoria, NY 11102-3142 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609381458 | Interboro Heart & Vascular Pllc | Internal Medicine | 4802 25th Ave Ste 110, Astoria, NY 11103-1025 | 2017-12-01 |
| 1316094014 | Andrew Cambitsis, M.d., P.C. | Internal Medicine | 2241 33rd St, Astoria, NY 11105-2402 | 2007-01-04 |
| 1558471912 | Margarita C Pascual | Internal Medicine | 2552 Steinway St, Astoria, NY 11103-3777 | 2006-08-30 |
| 1275540767 | Emmanuel Frank Troulakis | Internal Medicine | 3018 37th St, Emmanuel F Troulakis Md, Astoria, NY 11103-3809 | 2006-08-01 |
| 1316981418 | Dino Belletti | Internal Medicine | 4320 21st Ave, Astoria, NY 11105-1326 | 2006-06-16 |
| 1689616484 | Ho-mau Liu | Internal Medicine | 3714 21st Ave, Astoria, NY 11105-1839 | 2006-06-13 |
| 1871565242 | Myo Maw | Internal Medicine | 3180 41st St, Astoria, NY 11103-3902 | 2006-02-01 |
| 1487624185 | Andrew Cambitsis | Internal Medicine | 22 41 33rd Street, Astoria, NY 11105 | 2006-01-25 |
| 1407855075 | Constantine Kosmas | Internal Medicine | 30-16 30th Drive, Astoria, NY 11102 | 2005-07-18 |
| 1104243633 | Cardiovascular Services of Dr Tarek Mousa PC | Internal Medicine | 2427 Steinway St, Astoria, NY 11103-3654 | 2014-03-21 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.