Achieve Medical Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60257261 Issued in NY

Legal business name

ACHIEVE MEDICAL HEALTHCARE PC

Practice address

10 Old Riverhead Rd Unit a
Westhampton Beach, NY 11978-1460

Phone

(631) 369-4292

Fax

(631) 443-4493

NPI assigned

Sep 26, 2014

Last updated

Apr 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dimos Kanakoudas, M.D.

Title

President

Phone

(646) 824-1380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1609279272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONTAUK HWY STE B",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119771248",
            "telephone_number": "631-369-4292",
            "fax_number": "631-443-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD RIVERHEAD RD UNIT A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781460",
            "telephone_number": "631-369-4292",
            "fax_number": "631-443-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "KANAKOUDAS",
        "authorized_official_first_name": "DIMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-824-1380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60257261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Abramson, LCSW, CASAC
• Saladin Abu Sada, RPH
• Achieve Medical and Rehab PC
• Active Pursuit Physical Therapy PLLC
• Dara Adames, PA
• Fatimah Meraj Ahmad
• Amelia Albano
• Laurie Alberts, RN

• Family Medicine Physician in Westhampton Beach, NY
• Providers in Westhampton Beach, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.