Christina Kalamotousakis

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

381342 Issued in NY

Practice address

1 Wagner Ave
Roosevelt, NY 11575-1528

Phone

(516) 345-7229

Fax

(516) 345-7322

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christina Kalamotousakis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1225612260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 300",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "516-396-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAGNER AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751528",
            "telephone_number": "516-345-7229",
            "fax_number": "516-345-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Magnolia Ln",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532253",
            "country_code": "US",
            "telephone_number": "917-696-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAMOTOUSAKIS",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303425",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KALAMOTOUSAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Jobson, LCSW-R
• Derwin Johnson
• Michele Johnson
• Marilyn Ann Jollon, CNM
• Gessica Julien
• Charmali Kamalogoda
• Melissa Kay
• Patricia Ann Kear, NP
• Ayana Keeling
• Maura Kelly-Lewinger

• Pediatric Nurse Practitioner in Roosevelt, NY
• Providers in Roosevelt, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.