Organization Active NPI

Nicholas C. Kaloudis M.D. PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayside, NY
National Provider Identifier
1457539512
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
234166 Issued in NY
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

Updated by the provider on Jul 25, 2012

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.