Organization Active NPI

Kzark Medical PC

Doing business as Advanced Medical Group

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1619162591
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240460 Issued in NY
Legal business name
KZARK MEDICAL PC
Doing business as
Advanced Medical Group
Practice address
4604 31St Ave
Suite a
Astoria, NY 11103-1842
Phone
(718) 626-2222
Fax
(718) 626-4962
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Konstantinos Zarkadas, M.D.
Title
President
Phone
(718) 626-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240460 NY Primary

Addresses

Primary practice location

4604 31St Ave
Suite a
Astoria, NY 11103-1842

Mailing address

PO Box 5549
Astoria, NY 11105-5549
Phone (717) 626-2222

Other names 1

  • Advanced Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

4604 31st Ave
#A
Astoria, NY 11103
Phone (718) 626-2222

2027 Jerome Ave
Bronx, NY 10453
Phone (718) 294-1949

1 Walnut Rd
Glen Cove, NY 11542
Phone (516) 676-2973

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1619162591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5549",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111055549",
            "telephone_number": "717-626-2222",
            "fax_number": "718-626-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "address_2": "SUITE A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-626-2222",
            "fax_number": "718-626-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KZARK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ZARKADAS",
        "authorized_official_first_name": "KONSTANTINOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-626-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.