CONSTANTINE ROSSAKIS MD PC (NPI# 1235467176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235467176 |
| Entity Type | Organization |
| Organization Name | CONSTANTINE ROSSAKIS MD PC |
| Practice Address |
25 E Spring Valley Ave Suite 100 Maywood NJ 07607-2150 |
| Practice Telephone | 2014893440 |
| Practice Fax Number | 2014897920 |
| Mailing Telephone | 2014893440 |
| Mailing Fax Number | 2014897920 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | DR. CONSTANTINE ROSSAKIS (OWNER PRESIDENT) |
| Authorized Official Telephone | 2014893440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA053041 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
25 E SPRING VALLEY AVE SUITE 100 |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| 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 |
|---|---|---|---|---|
| 1225284706 | Demetrios Nicholas Panagiotou | Internal Medicine | 255 W Spring Valley Ave Ste 200, Maywood, NJ 07607-1444 | 2008-08-15 |
| 1346297934 | Cesar E Aranguri | Internal Medicine | 4205 Slauson Ave, Maywood, CA 90270-2835 | 2006-05-28 |
| 1316990104 | Henry S Loeb | Internal Medicine | Edward Hines Va Hospital, Roosevelt Rd., Maywood, IL 60141 | 2006-05-19 |
| 1407387152 | Swapna Gudipati | Internal Medicine | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153-3328 | 2017-03-24 |
| 1669829354 | Alexandru Marginean | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2016-05-23 |
| 1801278650 | Farid Gholitabar | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2015-06-28 |
| 1861812612 | David Luke | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2014-04-20 |
| 1336571173 | Kim Hoe Chan | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-08-03 |
| 1053755710 | Asim Khan Babar | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-04-24 |
| 1750647939 | Stephen T Phillips | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-04-02 |
| Find all providers in MAYWOOD | ||||
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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.