MEDICARE: DR. ARISTIDES BASIL CODOYANNIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MA33916	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871565077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARISTIDES BASIL CODOYANNIS MD

Provider Business Mailing Address
First Line	:	13 GLENNON FARM LN
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4504
Country	:	US
Telephone Number	:	973-476-2039
Fax Number	:	908-325-6343

Provider Business Practice Location Address
First Line	:	13 GLENNON FARM LN
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4504
Country	:	US
Telephone Number	:	973-476-2039
Fax Number	:	908-325-6343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/05/2014

Similar Medicare Providers

1497070775 — DR. VERONICA CONCEPCION CODOYANNIS MD
Practice Location Address:

13 GLENNON FARM LN
LEBANON, NJ
08833-4504

Practice Phone: 908-832-5095
Practice Fax: 908-832-7034

1124517768 — CMU
Practice Location Address:

1349 CUMBERLAND ST
LEBANON, PA
17042-4504

Practice Phone: 717-644-9600
Practice Fax:

1770431793 — BLUE SKY MEDICAL SUPPLY
Practice Location Address:

291 US HIGHWAY 22 STE 9A
LEBANON, NJ
08833-5066

Practice Phone: 732-648-6994
Practice Fax: 732-648-6994

1457356735 — PRO-ACTIVITY REHABILITATION ASSOCIATES, LLC
Practice Location Address:

1250 STATE ROUTE 31
LEBANON, NJ
08833-3238

Practice Phone: 908-730-6640
Practice Fax: 908-730-0468

1437105079 — DR. ERIC YORKE M.D.
Practice Location Address:

1390 US HIGHWAY 22
LEBANON, NJ
08833-2217

Practice Phone: 908-725-5530
Practice Fax:

1245276310 — DR. JOHN FISCHER M.D.
Practice Location Address:

1390 ROUTE 22 W
LEBANON, NJ
08833

Practice Phone: 908-725-5530
Practice Fax: 908-253-6559

Directions to “ DR. ARISTIDES BASIL CODOYANNIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.