Constantine Rossakis MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA053041 Issued in NJ

Legal business name

CONSTANTINE ROSSAKIS MD PC

Practice address

25 E Spring Valley Ave
Suite 100
Maywood, NJ 07607-2150

Phone

(201) 489-3440

Fax

(201) 489-7920

NPI assigned

Dec 4, 2009

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Constantine Rossakis, M.D.NPI 1356303390

Title

Owner President

Phone

(201) 489-3440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADJADA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constantine Rossakis, MD

  • Cardiovascular Disease Physician
  • Maywood, NJ
  • NPI 1356303390
  Medicare reassignment NPD Authorized official
• Sarika Sharma, M.D.

  • Specialist
  • Hackensack, NJ
  • NPI 1821042771
  NPD (past)

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1235467176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SPRING VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072150",
            "telephone_number": "201-489-3440",
            "fax_number": "201-489-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SPRING VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072150",
            "telephone_number": "201-489-3440",
            "fax_number": "201-489-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE ROSSAKIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ROSSAKIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-489-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA053041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.