Individual provider Active NPI

Olga Karantoni, MD MA

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1154526531
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
239664 Issued in NY
Practice address
754 Lexington Ave
Kingsboro Atc
Brooklyn, NY 11221
Phone
(718) 453-3200
Fax
(718) 453-1208
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239664 NY Primary

Addresses

Primary practice location

754 Lexington Ave
Kingsboro Atc
Brooklyn, NY 11221

Mailing address

129 Fir St
Apt B11
Valley Stream, NY 11580-5017
Phone (718) 441-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630001243 NY Order and Referring Only - Family PracticePractitioner - Family Practice 6901198563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239664NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creedmoor Addiction Treatment Center Past Accepting new patients
Kingsboro Addiction Treatment Center Past Accepting new patients

Organizations & group practices 2

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1154526531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FIR ST",
            "address_2": "APT B11",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805017",
            "telephone_number": "718-441-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 LEXINGTON AVE",
            "address_2": "KINGSBORO ATC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221",
            "telephone_number": "718-453-3200",
            "fax_number": "718-453-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANTONI",
        "first_name": "OLGA",
        "credential": "MD MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.