Individual provider Active NPI

Kalliope Kyriakides

  • Dermatology Physician
  • Astoria, NY
National Provider Identifier
1407348816
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
301435 Issued in NY
Practice address
2381 38TH St
Astoria, NY 11105-1909
Phone
(718) 274-4900
Fax
(347) 679-6277
NPI assigned
May 31, 2018
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 301435 NY Primary

Addresses

Primary practice location

2381 38TH St
Astoria, NY 11105-1909

Mailing address

2381 38TH St
Astoria, NY 11105-1909
Phone (718) 274-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220829000235 NY Practitioner - Dermatology 6800270604 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cindy Hoffman DO PCGroup PAC ID 6608979513, 8 clinicians

Practice addresses (Care Compare)

686 Stoneleigh Ave
Carmel, NY 10512-3931
Phone (845) 297-2957

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301435NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Hill Dermatology Associates P C Dermatology CurrentSince Jul 26, 2022 Accepting new patients
Cindy Hoffman DO PC Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology CurrentSince Jul 15, 2022 Accepting new patients

Locations

4277 Hempstead Tpke
Ste 206
Bethpage, NY 11714
Phone (516) 731-6505

686 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-1111

345 E 37th St
Rm 307
New York, NY 10016
Phone (212) 532-5355

2050 Saw Mill River Rd
Yorktown Heights, NY 10598
Phone (914) 245-7888

2050 Saw Mill River Rd
Ste 3
Yorktown Heights, NY 10598
Phone (914) 617-8500

Organizations & group practices 3

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1407348816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051909",
            "telephone_number": "718-274-4900",
            "fax_number": "347-679-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051909",
            "telephone_number": "718-274-4900",
            "fax_number": "347-679-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKIDES",
        "first_name": "KALLIOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "301435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.