Active NPI
Markella Michael Christakis, M.D.
- Surgery Physician
- Port Jefferson, NY
National Provider Identifier
1154632172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 257297
- Practice address
- 70 N Country Rd
Suite 201
Port Jefferson, NY 11777-2161 - Phone
- (631) 403-4310
- Fax
- (631) 403-4312
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 257297 | NY | Primary |
Addresses
Primary practice location
70 N Country Rd
Suite 201
Port Jefferson, NY 11777-2161
Mailing address
70 N Country Rd
Suite 201
Port Jefferson, NY 11777-2161
Phone (631) 403-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2025 through Mar 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257297 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belle Terre Medical Wellness, PC | Current | Accepting new patients |
Locations
640 Belle Terre Rd
Bldg J
Prt Jefferson, NY 11777
Phone (631) 828-5361
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.
-
- Clinic/Center
- Port Jefferson, NY
- NPI 1649848300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1154632172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD",
"address_2": "SUITE 201",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-403-4310",
"fax_number": "631-403-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD",
"address_2": "SUITE 201",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-403-4310",
"fax_number": "631-403-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTAKIS",
"first_name": "MARKELLA",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "257297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.