Alexander Kintzoglou, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

166870 Issued in NY

Practice address

10105 Lefferts Blvd Ste 203
South Richmond Hill, NY 11419-2014

Phone

(718) 441-8086

Fax

(718) 441-8087

NPI assigned

Sep 8, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)
• Saint Vincents Catholic Medical Centers of New York

  • Primary Care Clinic/Center
  • Garden City, NY
  • NPI 1790010817
  NPD (past)
• St Vincents Catholic Medical Center

  dba CMC Cardiology Services

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1619051703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1093819203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 LEFFERTS BLVD STE 203",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192014",
            "telephone_number": "718-441-8086",
            "fax_number": "718-441-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 LEFFERTS BLVD STE 203",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192014",
            "telephone_number": "718-441-8086",
            "fax_number": "718-441-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZOGLOU",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "166870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "750331",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00964916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000015444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Khesin, OD
• Aisha Khizar
• SE H Kim, MD
• Joshua Brian Kimmel, MS
• Ray Michael King, PHARM D.
• Latchmi Jasodra Kisto, LPN
• Kathleen Gail Kohut, D.O.
• Betsy Koshy, OTR/L
• Komal Kumar Kukkar, PT
• L. Fernandez Farmacia, Inc

• Geriatric Medicine (Internal Medicine) Physician in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.