Individual provider Active NPI

Constantine Rossakis, MD

  • Cardiovascular Disease Physician
  • Maywood, NJ
National Provider Identifier
1356303390
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA053041 Issued in NJ
Practice address
25 East Spring Valley Avenue Sutie #100
Maywood, NJ 07607-2154
Phone
(201) 489-3440
Fax
(201) 712-1222
NPI assigned
Apr 5, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA053041 NJ Primary

Addresses

Primary practice location

25 East Spring Valley Avenue Sutie #100
Maywood, NJ 07607-2154

Mailing address

25 East Spring Valley Avenue Sutie #100
Maywood, NJ 07607-2154
Phone (201) 489-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091214000093 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799825345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 E Spring Valley Ave
Suite 100
Maywood, NJ 07607-2154
Phone (201) 489-3440

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA053041NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Constantine Rossakis MD PC Cardiovascular Disease CurrentSince Nov 5, 2009 Accepting new patients

Locations

25 E Spring Valley Ave
Ste 100
Maywood, NJ 07607
Phone (201) 489-3440

Interoperability endpoints

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1356303390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EAST SPRING VALLEY AVENUE SUTIE #100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072154",
            "telephone_number": "201-489-3440",
            "fax_number": "201-712-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EAST SPRING VALLEY AVENUE SUTIE #100",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072154",
            "telephone_number": "201-489-3440",
            "fax_number": "201-712-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSAKIS",
        "first_name": "CONSTANTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA053041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.