NPIMap

Organization Active NPI

Kzark Medical P.C.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1164847117
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
240460 Issued in NY
Legal business name
KZARK MEDICAL P.C.
Practice address
2027 Jerome Ave
Bronx, NY 10453-1803
Phone
(917) 801-1180
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Konstantinos Zarkadas, M.D.
Title
Medical Director
Phone
(917) 801-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 240460 NY Primary

Addresses

Primary practice location

2027 Jerome Ave
Bronx, NY 10453-1803

Mailing address

2027 Jerome Ave
Bronx, NY 10453-1803
Phone (917) 801-1180

National Provider Directory

National Provider Directory
Tax ID family
Kzark Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1164847117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "917-801-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531803",
            "telephone_number": "917-801-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KZARK MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ZARKADAS",
        "authorized_official_first_name": "KONSTANTINOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-801-1180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.