Active NPI
Paul Jack Karanicolas, M.D.
- Surgical Oncology Physician
- New York, NY
National Provider Identifier
1144453887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- P69929
- Practice address
- 504 E 63Rd St
Apartment 13-R
New York, NY 10065-7919 - Phone
- (718) 663-1643
- NPI assigned
- Aug 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | P69929 | NY | Primary |
Addresses
Primary practice location
504 E 63Rd St
Apartment 13-R
New York, NY 10065-7919
Mailing address
504 E 63Rd St
Apartment 13-R
New York, NY 10065-7919
Phone (718) 663-1643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P69929 | NY | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1144453887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E 63RD ST",
"address_2": "APARTMENT 13-R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657919",
"telephone_number": "718-663-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E 63RD ST",
"address_2": "APARTMENT 13-R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657919",
"telephone_number": "718-663-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARANICOLAS",
"first_name": "PAUL",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "P69929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.