Organization Active NPI

Christopher Kyriakides,D.O.Sportsmedicine&Orthopedicrehabilitation,PC

Doing business as new york orthopaedic surgery and rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Astoria, NY
National Provider Identifier
1356506562
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
183380 Issued in NY
Legal business name
CHRISTOPHER KYRIAKIDES,D.O.SPORTSMEDICINE&ORTHOPEDICREHABILITATION,PC
Doing business as
new york orthopaedic surgery and rehabilitation
Practice address
3825 Astoria Blvd
Astoria, NY 11103-3608
Phone
(718) 274-7300
NPI assigned
Jul 28, 2008
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Mr. Christopher Kyriakides, D.ONPI 1215921861
Title
Owner
Phone
(718) 274-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 183380 NY Primary

Addresses

Primary practice location

3825 Astoria Blvd
Astoria, NY 11103-3608

Mailing address

3825 Astoria Blvd
Astoria, NY 11103-3608
Phone (718) 274-7300

Other identifiers 1

IdentifierTypeStateIssuer
01600OtherNYMEDICARE PTAN

Other names 1

  • new york orthopaedic surgery and rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000234 NY Part B Supplier - Clinic/Group Practice 4385667047 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

160 Montague St
Brooklyn, NY 11201
Phone (516) 355-0111

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1356506562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033608",
            "telephone_number": "718-274-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033608",
            "telephone_number": "718-274-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER KYRIAKIDES,D.O.SPORTSMEDICINE&ORTHOPEDICREHABILITATION,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "KYRIAKIDES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-274-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "183380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "01600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new york orthopaedic surgery and rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.