Active NPI
Kathleen Karanikolas, MD
- Internal Medicine Physician
- Long Island City, NY
National Provider Identifier
1225079239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 197558
- Practice address
- 2510 30TH Ave
Long Island City, NY 11102-2448 - Phone
- (718) 267-4245
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 197558 | NY | Primary |
Addresses
Primary practice location
2510 30TH Ave
Long Island City, NY 11102-2448
Mailing address
6 Vanderveer Dr
Belle Mead, NJ 08502-5554
Phone (908) 281-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1225079239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VANDERVEER DR",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085025554",
"telephone_number": "908-281-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 30TH AVE",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111022448",
"telephone_number": "718-267-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARANIKOLAS",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "197558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.