Active NPI
Vasileios Kostaras, MD
- Student in an Organized Health Care Education/Training Program
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 256798
- Practice address
- 101 Nicolls Road
HSC 19
Stony Brook, NY 11794-8191 - Phone
- (631) 444-1791
- Fax
- (631) 444-7689
- NPI assigned
- May 20, 2008
- Last updated
- Aug 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 256798 | NY | Primary |
| Transplant Surgery Physician | 204F00000X | MT191836 | PA |
Addresses
Primary practice location
101 Nicolls Road
HSC 19
Stony Brook, NY 11794-8191
Mailing address
101 Nicolls Road
HSC 19
Stony Brook, NY 11794-8191
Phone (631) 444-1791
Other names 1
- Vasileios Kostaras
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Teaneck, NJ 07666
Phone (201) 833-3000
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000
1100 Clifton Ave
Clifton, NJ 07013-3631
Phone (973) 778-0110
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 383-1035
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 392-3100
Hospital & facility affiliations
- Valley Hospital
- Clara Maass Medical Center
- Holy Name Medical Center
- Hudson Regional Hospital
- Saint Michael's Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191836 | PA | MD | Transplant Surgery Physician |
| 256798 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Transplant Surgery | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Central Avenue Professional Services, PC | Current | Accepting new patients | |
| Evidence Based Surgery, LLC | Current | Accepting new patients |
Locations
1100 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-7879
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- vasileios.kostaras@direct.hackensackmeridian.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Clifton, NJ
- NPI 1508535816
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1447649694
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Transplant Surgery
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1144487968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS ROAD",
"address_2": "HSC 19",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948191",
"telephone_number": "631-444-1791",
"fax_number": "631-444-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS ROAD",
"address_2": "HSC 19",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948191",
"telephone_number": "631-444-1791",
"fax_number": "631-444-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTARAS",
"first_name": "VASILEIOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "256798",
"primary": true
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "PA",
"license": "MT191836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VASILEIOS",
"last_name": "KOSTARAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.