Individual provider Active NPI

Nikolaos I. H. Papamitsakis, MD

  • Vascular Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1467452797
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
258631 Issued in NY
Practice address
450 Clarkson Ave Ste B6-314
Brooklyn, NY 11203-2012
Phone
(718) 270-1259
NPI assigned
Jul 28, 2005
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29409 SC
Neurology Physician 2084N0400X 25MA07505600 NJ
Neurology Physician 2084N0400X 4301073105 MI
Neurology Physician 2084N0400X 258631 NY
Neurology Physician 2084N0400X 65156 CT
Vascular Neurology Physician 2084V0102X 258631 NY Primary

Addresses

Primary practice location

450 Clarkson Ave Ste B6-314
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave Ste B6-314
Brooklyn, NY 11203-2012
Phone (718) 221-5188

Other identifiers 2

IdentifierTypeStateIssuer
294096MedicaidSC
9056505MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061220000178 SC Practitioner - Neurology 1658396387 Reassigns benefits to 2 organizations
I20101207000960 NY Practitioner - Neurology 1658396387 Reassigns benefits to 8 organizations
I20211208002225 CT Practitioner - Neurology 1658396387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-3188

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073105MIMDNeurology Physician
25MA07505600NJMDNeurology Physician
258631NYMDVascular Neurology Physician
29409SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Greenville Health System CurrentSince Aug 1, 2016 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Mar 31, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 26, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Oct 25, 2022 Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Midstate Medical Center Current Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Midstate Medical Center CurrentSince Jul 26, 2024 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Feb 8, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Nov 22, 2021 Accepting new patients
Midstate Medical Center CurrentSince Jul 26, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Mar 9, 2024 Accepting new patients
University Physicians of Brooklyn, Inc. Neurology CurrentSince Jul 1, 2019 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Feb 8, 2022 Accepting new patients
Greenville Health System Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Neurology CurrentSince Sep 17, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Oct 25, 2022 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 14, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 26, 2024 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
Ste B6314
Brooklyn, NY 11203
Phone (718) 270-1259

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 826-4900

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

200 Patewood Dr
Ste B350
Greenville, SC 29615
Phone (864) 454-4500

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nikolaospapamitsakis@mai.allscriptsdirect.net
  • Direct secure messaging: nikolaospapamitsakis@sunydmc.allscriptsdirect.net
  • Direct secure messaging: npapamitsakis3628194@nychhc.direct-ci.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1467452797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE STE B6-314",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-221-5188",
            "fax_number": "718-221-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE STE B6-314",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAMITSAKIS",
        "first_name": "NIKOLAOS",
        "middle_name": "I. H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "29409",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07505600",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301073105",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "258631",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "65156",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "258631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294096",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.