Individual provider Active NPI

Kostantinos Linardakis, DC

  • Chiropractor
  • Oceanport, NJ
National Provider Identifier
1154411544
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00564100 Issued in NJ
Practice address
1000 Sanger Avenue
Suite #205
Oceanport, NJ 07757
Phone
(732) 747-7333
Fax
(732) 475-4875
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00564100 NJ Primary

Addresses

Primary practice location

1000 Sanger Avenue
Suite #205
Oceanport, NJ 07757

Mailing address

1000 Sanger Avenue
Suite #205
Oceanport, NJ 07757
Phone (732) 747-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000589 NJ Practitioner - Chiropractic 3678722154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Sanger Ave
Suite 205
Oceanport, NJ 07757-1241
Phone (732) 747-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Silver Family Chiropractic, Inc. Chiropractor CurrentSince Feb 28, 2012 Accepting new patients

Locations

1000 Sanger Ave
Ste 205
Oceanport, NJ 07757
Phone (732) 598-9917

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1154411544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVENUE",
            "address_2": "SUITE #205",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "07757",
            "telephone_number": "732-747-7333",
            "fax_number": "732-475-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVENUE",
            "address_2": "SUITE #205",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "07757",
            "telephone_number": "732-747-7333",
            "fax_number": "732-475-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARDAKIS",
        "first_name": "KOSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00564100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.