Active NPI
Nicholas C. Kaloudis M.D. PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Bayside, NY
National Provider Identifier
1457539512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 234166
- Legal business name
- NICHOLAS C. KALOUDIS M.D. PLLC
- Practice address
- 4401 Francis Lewis Blvd
Bayside, NY 11361-3002 - Phone
- (718) 224-3138
- Fax
- (718) 717-0275
- NPI assigned
- Jan 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Kaloudis
- Title
- Sole Owner
- Phone
- (718) 224-3138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 234166 | NY | Primary |
Addresses
Primary practice location
4401 Francis Lewis Blvd
Bayside, NY 11361-3002
Mailing address
4401 Francis Lewis Blvd
Bayside, NY 11361-3002
Phone (718) 224-3138
National Provider Directory
National Provider DirectoryLocations
1129 Northern Blvd
Ste 305
Manhasset, NY 11030
Phone (516) 365-1150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1457539512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613002",
"telephone_number": "718-224-3138",
"fax_number": "718-717-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613002",
"telephone_number": "718-224-3138",
"fax_number": "718-717-0275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS C. KALOUDIS M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "KALOUDIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "718-224-3138"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "234166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.