Active NPI
Kostantina I Pasiakos
- Pharmacist
- Springfield, NJ
National Provider Identifier
1568779700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28R103183200
- Practice address
- 240 Route 22
Springfield, NJ 07081-3506 - Phone
- (973) 379-0766
- NPI assigned
- Sep 9, 2010
- Last updated
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28R103183200 | NJ | Primary |
| Pharmacist | 183500000X | 20 054242 | NY |
Addresses
Primary practice location
240 Route 22
Springfield, NJ 07081-3506
Mailing address
1718 W 5TH St
Apt 2F
Brooklyn, NY 11223-1472
Phone (718) 627-8110
Other names 1
- Dr. Kostantina I Pasiakos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28R103183200 | NJ | MD | Pharmacist |
| 20 054242 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1568779700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 W 5TH ST",
"address_2": "APT 2F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231472",
"telephone_number": "718-627-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 ROUTE 22",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813506",
"telephone_number": "973-379-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASIAKOS",
"first_name": "KOSTANTINA",
"middle_name": "I",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R103183200",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20 054242",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KOSTANTINA",
"last_name": "PASIAKOS",
"middle_name": "I",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.