Mikhail I Kantius, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

156892 Issued in NY

Practice address

79-18 164 St
Jamaica, NY 11432

Phone

(718) 969-2884

Fax

(718) 969-2576

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sophora Diagnostic Lab Inc

  • Clinical Medical Laboratory
  • Jamaica, NY
  • NPI 1669451563
  NPD Authorized official
• Metro Health Medical P.C.

  • Specialist
  • Jamaica, NY
  • NPI 1275684458
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1235100363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740048",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-18 164 ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-969-2884",
            "fax_number": "718-969-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTIUS",
        "first_name": "MIKHAIL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "156892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Kangur
• Tina Kanmaz, PHARM.D.
• Kaushal Kannammal, O. D.
• Yael Kanner
• Cardilla Lilia Kantasingh
• Alexander Kaplan, PA-C
• Robert Phillip Kaplan, OPHTHALMIC DISPENSER
• Ravi Kapoor, MD, MPH
• Roopam Kapoor, M.D.
• Pooja Kar, LMHC

• Dermatopathology Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Dermatopathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.