C AND M KINTIROGLOU MD'S PA (NPI# 1689969396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689969396 |
| Entity Type | Organization |
| Organization Name | C AND M KINTIROGLOU MD'S PA |
| Practice Address |
1500 Pleasant Valley Way Suite 301 West Orange NJ 07052-2956 |
| Practice Telephone | 9732430002 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| Authorized Official Name | MS. BRIGETTE FULLARD (OFFICE MANAGER) |
| Authorized Official Telephone | 9732430002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA03124000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1500 PLEASANT VALLEY WAY SUITE 301 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324523 | Steven Kestlinger | Physician Assistant | 1500 Pleasant Valley Way, Suite 101, West Orange, NJ 07052-2956 | 2005-05-31 |
| 1245880756 | Katherine Nadelberg | Physical Therapist | 1500 Pleasant Valley Way, West Orange, NJ 07052-2956 | 2019-09-17 |
| 1508340845 | Khristine J Aguinaldo | Nurse Practitioner | 1500 Pleasant Valley Way, West Orange, NJ 07052-2956 | 2018-09-22 |
| 1548762024 | Sean Patrick Reid | Physical Therapist | 1500 Pleasant Valley Way, West Orange, NJ 07052 | 2018-03-01 |
| 1144770462 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 1500 Pleasant Valley Way, West Orange, NJ 07052-2956 | 2016-10-11 |
| 1164971628 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 1500 Pleasant Valley Way, West Orange, NJ 07052-2956 | 2016-09-26 |
| 1447627609 | Nicole M. Hauck | Physical Therapist | 1500 Pleasant Valley Way, West Orange, NJ 07052 | 2015-08-24 |
| 1306229331 | Howard Holtz, LLC | Internal Medicine | 1500 Pleasant Valley Way, Suite 205, West Orange, NJ 07052-2956 | 2015-07-08 |
| 1548642275 | Patricia A Berran Dpm LLC | Podiatrist | 1500 Pleasant Valley Way, Suite 305, West Orange, NJ 07052-2956 | 2015-06-18 |
| 1689052631 | Steven Hertz, Md,llc | Surgery | 1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052-2956 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205966124 | Constantinos Kintiroglou | Pediatrics | 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 | 2007-03-07 |
| 1730261496 | Deborah A Coy | Pediatrics | 393 Northfield Ave, West Orange, NJ 07052-3001 | 2006-10-20 |
| 1306880497 | Jeffrey Eric Levy | Pediatrics | 745 Northfield Ave, Suite 3, West Orange, NJ 07052-1144 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.