DR. KONSTANTINOS GUS KALLINIKOS (NPI# 1073505343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073505343 |
Entity Type | Individual |
Full Name | DR. KONSTANTINOS GUS KALLINIKOS |
Credential | DPM |
Practice Address |
525 Neptune Ave Brooklyn NY 11224-4063 |
Mailing Address |
532 Neptune Ave Suite 203 Brooklyn NY 11224-4010 |
Practice Telephone | 7189966000 |
Practice Fax Number | 7189966019 |
Mailing Telephone | 7189966000 |
Mailing Fax Number | 7189966019 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2017-01-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N005435 | NY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | EVERCARE | 2700985 | 01 |
NY | GHI MEDICARE | 03655 | 01 |
NC | ELDERPLAN | 161148 | 01 |
NY | OXFORD | P1946748 | 01 |
NY | MEDICARE RAILROAD | 480034729 | 01 |
NY | 01977971 | 05 | |
NY | PHS | 4C0018 | 01 |
NY | UNITED HEALTH CARE | 1902861 | 01 |
NY | GHI | 6201697 | 01 |
NY | HIP | N005435 | 01 |
Street Address |
525 NEPTUNE AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11224-4063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386928869 | Sabina Zhuk | Pharmacist | 525 Neptune Ave, Brooklyn, NY 11224-4001 | 2011-10-03 |
1164488227 | Prime Health Physical Therapy and Rehabilitation P. C. | Physical Therapist | 525 Neptune Ave, Lobby, Brooklyn, NY 11224-4063 | 2006-04-25 |
1053384768 | Joseph C Peter | Physical Therapist | 525 Neptune Ave, Lobby, Brooklyn, NY 11224-4063 | 2006-02-12 |
1932198165 | Steven Jay Rush | Internal Medicine | 525 Neptune Ave, Brooklyn, NY 11224-4063 | 2005-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893121 | A Song of Ascents LLC. | Clinic/Center | 2526 Neptune Ave, Brooklyn, NY 11224 | 2019-01-01 |
1851805659 | Kare for Kids Inc. | Early Intervention Provider Agency | 445 Neptune Avenue, 17a, Brooklyn, NY 11224 | 2017-12-01 |
1972014884 | Ingrid Blumberg | Speech-Language Pathologist | 2929 West 30th Street, Brooklyn, NY 11224 | 2017-10-18 |
1598283723 | Natalie Misyuk | Registered Nurse | 2820 West 8th Street Apt 11-h, Brooklyn, NY 11224 | 2017-09-08 |
1811412356 | Lisa S Rudnitsky | Day Training, Developmentally Disabled Services | 445 Neptune Avenue, 12d, Brooklyn, NY 11224 | 2017-08-05 |
1568910339 | Lara Adedayo | Licensed Practical Nurse | 3022 W 22nd Street Apt2g, Brooklyn, NY 11224 | 2016-09-21 |
1033665336 | Galina Moiseyeva | Pharmacist | 2946 W23rd Ap6-n, Brooklyn, NY 11224 | 2016-08-28 |
1538615083 | Oceanview Adult Day Care | Clinic/Center | 2910 West 32nd Streer, 1st Floor, Brooklyn, NY 11224 | 2016-08-25 |
1235537143 | Nola Roxanne Moore | Licensed Practical Nurse | 2867 West 37th Street, Brooklyn, NY 11224 | 2014-12-09 |
1447651989 | Renata Vaysman | Psychologist | 2925 W 19th St, Brooklyn, NY 11224 | 2014-09-15 |
Find all providers in zip 11224 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
1629452164 | Sm Gulzar Hossain | Podiatrist | 850 Monroe Street. Apt 1, Brooklyn, NY 11221 | 2015-07-15 |
1386069706 | Jobin Abraham Danesh | Podiatrist | 1821 E 19th St, Brooklyn, NY 11229-3500 | 2014-02-21 |
1356789820 | Fejzo Cecunjanin | Podiatrist | 1245 50th St Apt 4k, Brooklyn, NY 11219-3562 | 2013-06-06 |
1659630580 | Charles M Edelstein | Podiatrist | 1424 50th St, Brooklyn, NY 11219 | 2012-05-12 |
1134419336 | Regina Joyce Haygood | Podiatrist | 2343 Batchelder St, Apt 5f, Brooklyn, NY 11229-5377 | 2011-04-10 |
1982836334 | Sherry Shahrzad Nazarian D.p.m. P.C. | Podiatrist | 2083 E 53rd Pl, Brooklyn, NY 11234-4710 | 2009-08-19 |
1376771170 | Irina Pechalidi | Podiatrist | 576 Avenue Z Apt 3d, Brooklyn, NY 11223-6150 | 2009-06-30 |
1962648204 | Dr Lawrence & Ira Cohen | Podiatrist | 1542 Remsen Ave, Brooklyn, NY 11236-5251 | 2008-12-16 |
Find all providers in BROOKLYN |
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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.