Kor East 72ND Street Medical

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KOR EAST 72ND STREET MEDICAL

Doing business as

Manhattan Aesthetic Services

Practice address

325 East 72ND Street
New York, NY 10021

Phone

(212) 772-7229

Fax

(212) 737-0103

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Miss Kenneth Owne Rothaus, MD

Title

Chief Medical Office

Phone

(212) 737-0770

Specialties & licenses 1

Addresses

Other names 1

• Manhattan Aesthetic Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1346427184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 EAST 72ND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-772-7229",
            "fax_number": "212-737-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 EAST 72ND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-772-7229",
            "fax_number": "212-737-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOR EAST 72ND STREET MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ROTHAUS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "OWNE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICE",
        "authorized_official_telephone_number": "212-737-0770",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manhattan Aesthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hari Kiran Koppuravuri, M.D
• Erin Koprince, DPM, MSW
• Marina Koptiev, M.A.
• Cynthia M Kopyar, PT, GCFP
• Kor Counseling, LLC.
• Shanie Korabelnik, LCAT
• Ida Koraitem
• Alison Koransky, MD
• Lauren Koranteng, PHARMD
• Vigna Korat

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.