Active NPIIndividual provider

Dr. Constantinos Kintiroglou, MD

Pediatrics, Adolescent Medicine in West Orange, New Jersey

NPI Number1205966124
Practice location
1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956
Fax
973-243-1227
Last updated
July 8, 2007

Constantinos Kintiroglou is a Pediatrics, Adolescent Medicine based in West Orange, NJ. Constantinos Kintiroglou practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Constantinos Kintiroglou is 1205966124 and holds a License No. MA03124000 (NJ). The current practice location address for Constantinos Kintiroglou is 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956 and can be reached out via phone at 973-243-0002 and via fax at 973-243-1227.

Provider Profile Details

NPI Number
1205966124
Provider Name
Constantinos Kintiroglou
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956
Phone Number
973-243-0002
Fax Number
973-243-1227
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Pleasant Valley Way
Ste 306
West Orange, NJ 07052-2956
Zip
07052-2956
Phone Number
973-243-0002
Fax Number
973-243-1227
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
357 Walnut St
Livingston, NJ 07039-5011
City
Livingston
State
NJ
Zip
07039-5011
Phone Number
973-740-0548
Fax Number
973-243-1227

License Information

License Number
MA03124000
License State
NJ
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Constantinos Kintiroglou, MD?

The NPI number of Dr. Constantinos Kintiroglou, MD is 1205966124. It was assigned on March 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Constantinos Kintiroglou, MD?

Dr. Constantinos Kintiroglou, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number MA03124000.

Where does Dr. Constantinos Kintiroglou, MD practice?

The practice location is 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052-2956. The office can be reached at 973-243-0002 (phone) or 973-243-1227 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205966124 directly on the NPPES registry website.

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